摘要
目的 探讨经皮自体骨髓移植治疗胫骨骨折不愈合的疗效。方法 1996年 3月～ 2 0 0 0年 6月 ,用自体骨髓移植治疗胫骨骨不连患者 5 6例。采用抽取自身红骨髓 ,在 X线透视下用一枚骨穿针刺入骨不连部位注射 ,术后加压包扎并选用合适的固定材料 ,每月 1次 ,共需 2～ 3次。结果 5 6例全部获得随访 ,时间为 4个月～ 4年2个月 ,平均 2 .8年。骨折愈合 5 3例。X线片示 :骨折线消失 ,有大量连续骨痂形成 ,未愈合 3例。结论 自体骨髓移植在骨不连部位有成骨作用 ,取材容易 ,操作简便 ,疗效满意 ,有临床应用价值。
Objective To investigate the effect of percutaneous bone marrow graft for the management of nonunion of tibia. Methods From March 1996 to June 2000, 56 cases with nonunion of tibia were treated by autogenous bone marrow graft. Among them, there were 38 males and 18 females, aged from 19 to 72 years. A marrow needle was inserted into the site of the nonunion under the X ray, the autogenous bone marrow was injected into the site of nonunion. Compression bandage and appropriate immobilization material were applied after operation. This procedure was repeated every month, 2 or 3 times was needed. Results 56 patients were followed up for 4 months to 4 years and 2 months, averaged 2.8 years. Fracture healed in 53 cases and X ray displayed fracture line disappeared and a great deal of continuous callus formed,and nonunion in 3 cases. Conclusion [WT5”,6BZ]Percutaneous autogenous bone marrow graft can play a role in osteogenesis at the site of nonunion. It is easy to aspirate bone marrow and the operation is simple. It has clinical application value for the satisfactory effect.
出处
《中国修复重建外科杂志》
CAS
CSCD
2001年第1期24-25,共2页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
胫骨
骨不连
自体骨髓移植
治疗
Tibia Bone nonunion Autogenous bone marrow graft
