体外冲击波治疗骨折不愈合和延迟愈合的临床效果

Clinical effect of extracorporeal shock wave on nonunion and delayed union

目的探讨体外冲击波治疗骨折不愈合和延迟愈合的临床效果。方法选取2015年1月至2016年1月我院收治的骨折不愈合或延迟愈合患者46例为研究对象,随机分为观察组和对照组,各23例。对照组患者接受常规治疗,观察组患者接受体外冲击波治疗。比较两组患者治疗前、后骨痂X线评分、骨折愈合率及治疗费用。结果治疗1、2、3疗程后,两组患者的骨痂X线评分明显优于治疗前,且观察组患者明显优于对照组(P<0.05)。治疗后,观察组愈合率为91.30%,明显高于对照组的78.26%(P<0.05);观察组治疗费用明显低于对照组(P<0.05)。结论体外冲击波治疗骨折术后不愈合或延迟愈合的临床效果显著,值得临床推广应用。

Objective To investigate the clinical effect of extracorporeal shock wave on nonunion and delayed union.Methods A total of 46 patients with nonunion and delayed union admitted in our hospital from January 2015 to January 2016 were selected and randomly divided into observation group and control group,with 23 cases in each group.The control group received routine treatment,and the observation group accepted extracorporeal shock wave.The callus X-ray score before and after treament,fracture healing rate and treatment cost were compared between the two groups.Results After 1,2,3 courses of treatment,the callus X-ray scores of the two groups were better than those before treatment,and those of the observation group were better than the control group(P<0.05).After treatment,the fracture healing rate of the observation group was 91.30%,which was higher than 78.26%of the control group;and the treatment cost of the observation group was lower than that of the control group(P<0.05).Conclusion The clinical effect of extracorporeal shock wave on nonunion and delayed union is remarkable,which is worthy of clinical application and promotion