《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (4): 385-388.

• 论文 • 上一篇    下一篇

冲击波联合高压氧治疗长骨骨折不愈合的疗效分析

王海东,杨智权,张平,张庆民,徐啸,李贵忠,黄广林,满立波   

  1. 1.北京积水潭医院泌尿外科,北京市100035;2.北京康复中心骨科,北京市100144。
  • 收稿日期:2013-12-02 修回日期:2014-02-21 出版日期:2014-04-25 发布日期:2014-04-25
  • 通讯作者: 张庆民

Effects of Extracorporeal Shock Wave Therapy Combined with Hyperbaric Oxygen on Nonunion of Long Bone Fractures

WANG Hai-dong, YANG Zhi-quan, ZHANG Ping, et al.   

  1. Department of Urology, Beijing Jishuitan Hospital, Beijing 100035, China
  • Received:2013-12-02 Revised:2014-02-21 Published:2014-04-25 Online:2014-04-25

摘要: 目的探讨体外冲击波疗法(ESWT)联合高压氧对骨折不愈合的治疗效果。方法将115 例骨折不愈合患者分为ESWT联合高压氧治疗组(治疗组,n=83)和对照组(n=32)。治疗组采用ESWT治疗3~5 次,每次治疗冲击计量3000 次,期间配合高压氧治疗。对照组继续观察,随访3 个月以上。结果治疗组总治愈率为78.31%,对照组为12.50%(P<0.01)。治疗组并发症少且轻微。结论ESWT联合高压氧治疗骨折不愈合安全有效。

关键词: 骨折不愈合, 冲击波治疗, 高压氧

Abstract: Objective To explore the effect of extracorporeal shock wave therapy (ESWT) combined with hyperbaric oxygen on nonunion after surgery. Methods 83 patients with nonunion were treated with ESWT combined with hyperbaric oxygen (treatment group), and 32 cases served as control group. ESWT application was conducted using a protocol totaling 3000 shocks per treatment. The treatment group received 3~5 times of treatment, at the same time hyperbaric oxygen therapy was performed. The control group received no treatment and was followed up at least 3 months after treatment. Results The overall success rate was 78.31% in the treatment group, while only 12.50% recovered in the control group (P<0.01). The complications of treatment group were less and negligible. Conclusion Treatment of nonunion by extracorporeal shock wave combined with hyperbaric oxygen is safe and effective.

Key words: nonunion, extracorporeal shock wave therapy, hyperbaric oxygen