| 杨杰华,张盘德,彭小文,梁秋雁.液电式及电磁式体外冲击波治疗骨不连及骨折延迟愈合效果比较[J].中国康复医学杂志,2009,24(10):921~923 |
| 液电式及电磁式体外冲击波治疗骨不连及骨折延迟愈合效果比较 点此下载全文 |
| 杨杰华 张盘德 彭小文 梁秋雁 |
| 佛山市第一人民医院康复医学科，528000 |
| 基金项目：广东佛山市卫生局科研立项（2007） |
| DOI： |
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| 摘要： |
| 目的: 比较国产液电式及电磁式体外冲击波(ESW)治疗骨不连及骨折延迟愈合的效果及安全性。方法: 随机抽取液电式及电磁式ESW治疗骨不连及骨折延迟愈合患者112例, 每月进行X线片复查,了解骨折愈合情况。ESW治疗3个月后如骨折处无明显骨痂生长,则再行1疗程ESW治疗。结果:电磁式ESW组治疗56例，3例无效,53例有较明显骨痂生长,骨痂出现时间为4—12周；其中48例最终骨折完全愈合,骨折愈合时间为8—25周；治疗总有效率为94.64% ,治愈率为85.71%。电磁式ESW治疗后观察到肢体神经血管损伤等并发症少。电磁式组与液电式组比较疗效及安全性差异有显著性意义(P<0.01)。结论:电磁式ESW治疗骨不连及骨折延迟愈合的疗效优于液电式ESW机;ESW治疗骨不连及骨折延迟愈合疗效可靠、创伤小、方法简单安全。 |
| 关键词：体外冲击波 骨折 不愈合 骨不连 |
| Comparison of effect of electrohydraulic and electromagnetic extracorporeal shock waves on bone nonunions and fractare disunite Download Fulltext |
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| Dept. of Rehabilitation Medicine,The First Foshan Hospital,Foshan，528000 |
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| Abstract: |
| Objective：To compare the effectiveness and safety of electrohydraulic and electromagnetic extracorporeal shock waves（ESW） on bone nonunions and fracture disunite. Method：A total of 112 cases suffered from bone nonunions and fracture disunite treated with ESW were randomly chosen. To observe the state of healing, the parts of fractures were examined with X-ray monthly. If no conspicuous osteotylus appeared after the first 3 months course of ESW the patients would take another course of ESW treatment. Result： Electromagnetic ESW treatments were performed in 56 cases, in which 3 cases didn′s get effect, 53 cases had conspicuous osteotylus within 4—12weeks and 48 cases of them achieved complete healing with in 8—25 weeks. Healing rate was 85.71%, total effective rate was 94.64% with few serious complications. Compared with electrohydraulic ESW treatment， electromagnetic ESW treatment possessed obvious advantages in effectiveness and safety(P<0.01). Conclusion：The overall effects of electromagnetic ESW treatment on bone nonunions and fracture disunite are better than those of electrohydraulic ESW treatment. ESW treatment is a safe, simple and effective method for bone nonunion and fracture disunite. |
| Keywords:extracorporeal shock waves fracture disunite bone nonunions |
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