中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
12期
41-43
,共3页
锁定加压钢板%尺桡骨骨折不愈合%BMP复合骨%植骨材料
鎖定加壓鋼闆%呎橈骨骨摺不愈閤%BMP複閤骨%植骨材料
쇄정가압강판%척뇨골골절불유합%BMP복합골%식골재료
Locking compression plate%Radius and ulna fracture nonunion%Bone morphogenetic protein composite bone%Bone grafts
目的：比较自体骨、同种异体骨、BMP复合骨配合LCP治疗尺桡骨骨折不愈合的临床疗效。方法：选取2009年12月-2013年12月采用植骨配合LCP治疗尺桡骨骨折不愈合的62例患者，根据植骨材料不同分为自体骨组（A组，22例）、同种异体骨组（B组，23例）、BMP复合人工骨组（C组，17例）。比较不同时间点三组Anderson前臂骨折功能优良率及12个月后的治愈率。结果：A、B两组骨不连治愈情况比较差异有统计学意义（χ2=5.494，P<0.05）。A、C及B、C组间比较骨不连治愈比较差异无统计学意义（P>0.05）。A、B两组各时间段优良率比较差异均有统计学意义（P<0.05）；而A、C组比较差异均无统计学意义（P>0.05）；9个月与12个月时，B、C组比较差异有统计学意义（P<0.05）。结论：BMP复合骨在配合LCP治疗尺桡骨骨折不愈合中与自体骨基本等效，并优于同种异体骨。
目的：比較自體骨、同種異體骨、BMP複閤骨配閤LCP治療呎橈骨骨摺不愈閤的臨床療效。方法：選取2009年12月-2013年12月採用植骨配閤LCP治療呎橈骨骨摺不愈閤的62例患者，根據植骨材料不同分為自體骨組（A組，22例）、同種異體骨組（B組，23例）、BMP複閤人工骨組（C組，17例）。比較不同時間點三組Anderson前臂骨摺功能優良率及12箇月後的治愈率。結果：A、B兩組骨不連治愈情況比較差異有統計學意義（χ2=5.494，P<0.05）。A、C及B、C組間比較骨不連治愈比較差異無統計學意義（P>0.05）。A、B兩組各時間段優良率比較差異均有統計學意義（P<0.05）；而A、C組比較差異均無統計學意義（P>0.05）；9箇月與12箇月時，B、C組比較差異有統計學意義（P<0.05）。結論：BMP複閤骨在配閤LCP治療呎橈骨骨摺不愈閤中與自體骨基本等效，併優于同種異體骨。
목적：비교자체골、동충이체골、BMP복합골배합LCP치료척뇨골골절불유합적림상료효。방법：선취2009년12월-2013년12월채용식골배합LCP치료척뇨골골절불유합적62례환자，근거식골재료불동분위자체골조（A조，22례）、동충이체골조（B조，23례）、BMP복합인공골조（C조，17례）。비교불동시간점삼조Anderson전비골절공능우량솔급12개월후적치유솔。결과：A、B량조골불련치유정황비교차이유통계학의의（χ2=5.494，P<0.05）。A、C급B、C조간비교골불련치유비교차이무통계학의의（P>0.05）。A、B량조각시간단우량솔비교차이균유통계학의의（P<0.05）；이A、C조비교차이균무통계학의의（P>0.05）；9개월여12개월시，B、C조비교차이유통계학의의（P<0.05）。결론：BMP복합골재배합LCP치료척뇨골골절불유합중여자체골기본등효，병우우동충이체골。
Objective:To compare the effectiveness of locking compression plate combined with three different bone grafts autogenous bone, allogeneic bone,and bone morphogenetic protein (BMP) composite bone for radius and ulna fracture nonunion.Method:From December 2009 to December 2013, 62 cases of eligible of radius and ulna fracture nonunion were randomly treated with autogenous bone (group A, n=22), allogeneic bone (group B, n=23), and BMP composite bone (group C, n=17).The cure rate after 12 months and the Anderson good rate of forearm fractures were compared among 3 groups at different time points.Result:All patients of 3 groups were followed up at least 12 months. The cure rate of groups A and B was signifcantly different ( χ2=5.494,P < 0.05), but no significant diference was found between groups A,C and B,C (P>0.05).The Anderson good rate was compared at same period:There were significant difference between the group A and B of each time period (P<0.05),but no significant difference was found between groups A and C; at 6th and 12th months after operation, there was significant difference between the group B and C (P<0.05).Conclusion:The effect of BMP composite bone is equivalent to that of autogenous bone graft in treating nonunion of radius and ulna fracture, and they are better than allogeneic bone graft.
