体外冲击波治疗骨不连临床研究

Clinical Research of Extracorporeal Shock Wave Therapy for the Treatment of Bone Nonunion

目的：观察不同时间体外冲击波疗法（ESWT）治疗骨不连的临床疗效。方法：收集本院2010-2015年收治的采用ESWT治疗骨不连的患者21例作为研究对象,以术后3~6个月患者为A组,以术后7~10个月患者为B组,两组均采用聚焦式体外冲击波机治疗,个性化确定治疗参数。定期复查X片,分析比较两组治疗效果。结果：两组组内不同时间骨痂及骨折线评分比较,差异均有统计学意义（P〈0.001）;两组组间不同时间骨痂及骨折线评分比较,差异均有统计学意义（P〈0.05）;骨痂及骨折线评分估算边际均值A组较B组上升趋势更明显。结论：ESWT治疗骨不连安全、有效,早期进行干预效果更佳。

Objective： To observe the clinical curative effect of extraeorporeal shock wave treatment （ESWT） of different time points on bone nonunion.Method： 21 patients with bone nonunion undergoing extracorporea] shock wave treatment in our hospital from 2010 to 2015 were selected as the research objects. 11 patients 3 to 6 months after operation were selected as group A, 10 patients 7 to 10 months after operation were selected as group B.They were all treated by focused extraeorporeal shock wave therapy with personalized treatment parameters.They were regularly reviewed X-ray.The treatment effects were compared between the two groups.Result： The differences in scores of callus and fracture line of different time points inner the two groups were statistieally significant （ P〈0.001 ） .The differences in scores of callus and fracture line of different time points between the two groups were statistically significant （P〈0.05） .Conclusion： Extracorporeal shock wave treatment for bone nonunion is safe and effective, the effect of early intervention is better.