[1]李胜松,黄立本,吴均乐,等.骨皮质剥离术联合富血小板血浆治疗骨搬移会师端骨不愈合的临床疗效研究[J].中国中医骨伤科杂志,2025,33(08):50-55.[doi:10.20085/j.cnki.issn1005-0205.250809]
　LI Shengsong,HUANG Liben,WU Junle,et al.Clinical Efficacy of Cortical Peeling Combined with Platelet-Rich Plasma in the Treatment of Bone Nonunion at the Junction of Bone Transport[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(08):50-55.[doi:10.20085/j.cnki.issn1005-0205.250809]
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骨皮质剥离术联合富血小板血浆治疗骨搬移会师端骨不愈合的临床疗效研究()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年08期
页码:
50-55
栏目:
临床研究
出版日期:
2025-08-15

文章信息/Info

Title:
Clinical Efficacy of Cortical Peeling Combined with Platelet-Rich Plasma in the Treatment of Bone Nonunion at the Junction of Bone Transport
文章编号:
1005-0205(2025)08-0050-06
作者:
李胜松1; 黄立本2; 吴均乐3; 陈建文3; 李绪松1△
1广州中医药大学附属中山中医院(中山市中医院)(广东 中山,528401)
2广州市中西医结合医院
3广州中医药大学研究生院
Author(s):
LI Shengsong1; HUANG Liben2; WU Junle3; CHEN Jianwen3; LI Xusong1△
1Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine(Zhongshan Hospital of Traditional Chinese Medicine),Zhongshan 528401,Guangdong China; 2Guangzhou Hospital of Integrated Traditional Chinese and Western Medicine,Guangzhou 510800,China; 3Graduate School of Guangzhou University of Chinese Medicine,Guangzhou 510006,China.
关键词:
骨皮质剥离术;  富血小板血浆;  骨搬移;  骨不愈合
Keywords:
osteoperiosteal decortication;  platelet-rich plasma;  bone transport;  nonunion
分类号:
R687.3
DOI:
10.20085/j.cnki.issn1005-0205.250809
文献标志码:
A
摘要:
目的:探讨骨皮质剥离术联合富血小板血浆(PRP)治疗骨搬移术后会师端骨不愈合的临床疗效。方法:选取2021年6月至2024年6月24例因骨搬移术后会师端骨不愈合手术治疗患者的临床资料,采用随机数字表法将患者分为对照组和观察组(各12例)。对照组患者采用开放断端清理联合髂骨取骨植骨治疗,观察组患者采用骨皮质剥离术联合富血小板血浆治疗。观察骨折愈合时间、手术时间、术中出血量、感染率、骨折愈合率并评估患者相关疗效。结果:24例患者均获得完整随访,随访时间为9～16个月,平均为(12.7±1.2)个月,24例患者均骨性愈合。观察组患者与对照组的手术时间、术中出血量、并发症发生率差异有统计学意义(P<0.05),观察组均优于对照组。对照组患者出现1例伤口浅表感染,4例患者遗留髂骨取骨区疼痛。结论:骨皮质剥离术联合富血小板血浆是治疗骨搬移术后会师端骨不愈合的一种有效的方法,具有手术时间短、出血少、并发症少等优势。
Abstract:
Objective:To investigate the clinical efficacy of cortical peeling combined with platelet-rich plasma in the treatment of bone nonunion at the junction after bone transport.Methods:The clinical data of 24 patients who underwent surgery for nonunion at the junction after bone transport from June 2021 to June 2024 were selected.The patients were divided into control group and observation group by random number table method,12 cases in each group.The control group was treated with open debridement combined with iliac bone grafting.The observation group was treated with cortical peeling combined with platelet-rich plasma.The fracture healing time,operation time,intraoperative blood loss,infection rate,fracture healing rate and related therapeutic effects were observed.Results:All 24 patients were followed up for 916 months,with an average of(12.7±1.2)months.All the 24 patients achieved bony union.There were significant differences in operation time,intraoperative blood loss and incidence of complications between the observation group and the control group(P<0.05),and the observation group was better than the control group.In the control group,1 patient had superficial wound infection,and 4 patients had pain in the iliac bone harvesting area.Conclusion:Cortical peeling combined with platelet-rich plasma is an effective method for the treatment of bone nonunion at the junction after bone transport,which has the advantages of shorter operation time,less bleeding,and fewer complications.

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备注/Memo

备注/Memo:
基金项目:中山市社会公益与基础研究项目(210322223940647)
△通信作者 E-mail:xusongli@163.com
更新日期/Last Update: 2025-08-15