《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (10): 978-980.

• 论文 • 上一篇    下一篇

不同剂量放散状冲击波对骨折延迟愈合或不愈合的疗效比较

张隆浩，满立波，黄广林，徐啸   

  1. 北京积水潭医院冲击波治疗室，北京市100035。
  • 收稿日期:2012-11-13 修回日期:2012-11-28 出版日期:2013-10-25 发布日期:2013-10-25
  • 通讯作者: 满立波

Effect of Different Dosage of Radial Extracorporeal Shock Waves on Fracture Disunite and Bone Nonunions

ZHANG Long-hao,MAN Li-bo, HUANG Guang-lin, et al.   

  1. Extracorporeal Shock Wave Therapy Room of Beijing Jishuitan Hospital, Beijing 100035, China
  • Received:2012-11-13 Revised:2012-11-28 Published:2013-10-25 Online:2013-10-25

PDF (PC)

摘要： 目的探讨不同冲击剂量放散状冲击波对骨折延迟愈合或不愈合的疗效比较。方法对42 例肥大型稳定性骨折延迟愈合或不愈合的患者资料进行回顾性分析，按照不同冲击剂量分为A组(n=14， 1000/次)、B组(n=14，2000/次)和C组(n=14，3000/次)。三组患者均使用德国STORZ公司放散状冲击波治疗机进行标准治疗，治疗探头DI15，治疗压力2.5 bar，治疗频率10 Hz，治疗3 次，间隔7 d。末次治疗后每月行X线片复查，了解骨痂生长情况。结果末次治疗3 个月后行X线片复查，A组、B组和C组分别有2 例(14.3%)、8 例(57.1%)和8 例(57.1%)患者的骨痂明显生长，A组骨痂生长率低于后两组(P<0.05)，B组和C组无显著性差异(P>0.05)；末次治疗9 个月后的治愈率分别为28.6%、85.7%和78.6%，A组治愈率低于后两组(P<0.05)，B组和C组无显著性差异意义(P>0.05)。三组患者治疗后对内外固定支架均无影响。结论放散状冲击波治疗骨折延迟愈合或不愈合的冲击剂量存在剂量依赖性和剂量饱和性，每次治疗冲击次数2000为最佳选择。

关键词: 体外冲击波, 骨折, 不愈合, 延迟愈合, 冲击剂量

Abstract: Objective To explore the effect of different dosage of radial extracorporeal shock waves on fracture disunite and bone nonunions.Methods 42 patients were divided into 3 groups based on the different shock dosage, every group contained 14 patients and the shock dosages were 1000, 2000 and 3000 in Groups A, B and C respectively. All patients accepted the therapy for 3 times and followed up with X rays. Results 3 months after treatment, calluses were formated iin 2(14.7%), 8(57.1%) and 8(57.1%) patients in 3 groups respectively,which was lower in Group A than in Groups B and C (P<0.05), but there was no significant difference between Group B and Group C (P>0.05). 9 months after treatment, the corresponding cure rates were 28.6%, 85.7% and 78.6% in 3 groups respectively. The cure rate was lower in Group A than in Groups B and C (P<0.05), but there was no significant difference between Groups B and C (P>0.05). Conclusion The radial extracorporeal shock waves had dose-dependence and saturation for the shock dosage, 2000 is the optimal choice

Key words: extracorporeal shock waves, fractures, ununited, disunite, shock dosage