中国卫生标准管理
中國衛生標準管理
중국위생표준관리
CHINA HEALTH STANDARD MANAGEMENT
2014年
23期
143-144
,共2页
骨延长术%腓骨移植术%胫骨长段骨缺损
骨延長術%腓骨移植術%脛骨長段骨缺損
골연장술%비골이식술%경골장단골결손
Bone lengthening%Fibula transplantation%The long bone defect of tibia
目的：探讨应用 Ilizarov 技术骨节段传送延长术（简称骨延长术）和带血管蒂腓骨移植结合 Ilizarov 环形外固定架固定术（简称腓骨移植术）治疗创伤性胫骨长段骨缺损的疗效。方法将我院接诊的21例创伤性胫骨长段骨缺损患者按照骨缺损程度、软组织情况及实施带蒂组织瓣改善软组织条件，采用骨延长术和腓骨移植术进行治疗。结果骨延长术和腓骨移植术结合对患者创伤性胫骨长段骨缺损具有良好的修复作用，安全有效，有着可随时纠正畸形的优点，是避免骨缺损并发骨感染的较为有效方法。结论21例患者随访时间12～51个月，平均38个月。随访结果显示：全部病例按骨缺损的长度进行等量延长手术后，骨折端和延长段骨性均已愈合，且延长段完全骨愈合时间6～9个月，平均骨性愈合时间为8.4个月。结论骨延长术和腓骨移植术结合对患者创伤性胫骨长段骨缺损具有良好的修复作用，安全有效，有着可随时纠正畸形的优点，是避免骨缺损并发骨感染的较为有效方法。
目的：探討應用 Ilizarov 技術骨節段傳送延長術（簡稱骨延長術）和帶血管蒂腓骨移植結閤 Ilizarov 環形外固定架固定術（簡稱腓骨移植術）治療創傷性脛骨長段骨缺損的療效。方法將我院接診的21例創傷性脛骨長段骨缺損患者按照骨缺損程度、軟組織情況及實施帶蒂組織瓣改善軟組織條件，採用骨延長術和腓骨移植術進行治療。結果骨延長術和腓骨移植術結閤對患者創傷性脛骨長段骨缺損具有良好的脩複作用，安全有效，有著可隨時糾正畸形的優點，是避免骨缺損併髮骨感染的較為有效方法。結論21例患者隨訪時間12～51箇月，平均38箇月。隨訪結果顯示：全部病例按骨缺損的長度進行等量延長手術後，骨摺耑和延長段骨性均已愈閤，且延長段完全骨愈閤時間6～9箇月，平均骨性愈閤時間為8.4箇月。結論骨延長術和腓骨移植術結閤對患者創傷性脛骨長段骨缺損具有良好的脩複作用，安全有效，有著可隨時糾正畸形的優點，是避免骨缺損併髮骨感染的較為有效方法。
목적：탐토응용 Ilizarov 기술골절단전송연장술（간칭골연장술）화대혈관체비골이식결합 Ilizarov 배형외고정가고정술（간칭비골이식술）치료창상성경골장단골결손적료효。방법장아원접진적21례창상성경골장단골결손환자안조골결손정도、연조직정황급실시대체조직판개선연조직조건，채용골연장술화비골이식술진행치료。결과골연장술화비골이식술결합대환자창상성경골장단골결손구유량호적수복작용，안전유효，유착가수시규정기형적우점，시피면골결손병발골감염적교위유효방법。결론21례환자수방시간12～51개월，평균38개월。수방결과현시：전부병례안골결손적장도진행등량연장수술후，골절단화연장단골성균이유합，차연장단완전골유합시간6～9개월，평균골성유합시간위8.4개월。결론골연장술화비골이식술결합대환자창상성경골장단골결손구유량호적수복작용，안전유효，유착가수시규정기형적우점，시피면골결손병발골감염적교위유효방법。
Objective To study the application of Ilizarov technique joints for transmitting YanChangShu YanChangShu) (hereinafter referred to as bone with vascular pedicle fibular graft combined with Ilizarov circular external fixation frame fixation) (hereinafter referred to as fibula transplantation treatment the curative effect of traumatic tibial long bone defect. Methods Our hospital’s 21 cases of traumatic patients with long bone defect in tibia, according to the defects of bone, soft tissue and the implementation of pedicle flap improve the condition of soft tissue, were treated by bone YanChangShu and fibula transplantation. Results 21 patients were fol owed up 12 ~ 51 months, 38 months on average. Fol ow-up results showed that al patients amount according to the length of the bone defect after surgery, and to extend the period of osseous have healing fracture end, and to extend the period of ful y bone healing time 6 ~ 9 months, average osseous healing time was 8.4 months. Conclusion The bone YanChangShu combination for patients with traumatic tibial and fibula transplantation long bone defect with good repair effect, safe and effective, may at any time to correct the deformity of the advantages, is a more effective method to avoid concurrent bone defect bone infection.
