体外冲击波疗法与手术治疗骨不连疗效对比分析

Comparative analysis between extracorporeal shock wave and surgical treatment of nonunion

【目的】探讨冲击波在治疗骨不连中的疗效。【方法】冲击波组50例骨不连患者,应用冲击波治疗2～4次,治疗间隔7～10 d。手术组,35例骨不连患者,根据患者病情选择不同的手术方式。【结果】两组患者均获平均11个月随访,冲击波组46例愈合,手术组32例愈合。【结论】在疗效相近的情况下,体外冲击波治疗骨不连具有无创、费用低、无需住院等优点,但要获得满意的疗效,必须严格掌握适应证。

[ Objective ] To explore the effect of shock wave in the treatment of nonunion. [ Methods ] Shock wave group, 50 nonunion patients, shock wave treatment was used for 2 to 4 times and the treatment interval was 7-10 days. Surgery group, 35 cases of nonunion, according to the patient＇s condition different surgical approach were applied. [ Results I Two groups of patients received an average 11 months follow-up. In the shock wave group 46 patients healed, and in the surgical group 32 patients healed. [Conclusion]In the case of similar efficacy, extracorporeal shock wave therapy of nonunion is non-invasive, low cost, without hospitalization, but forgetting satisfactory results, indications must be strictly followed.