| 重函,周瑛.诱导膜技术联合中医康复治疗胫骨骨缺损的疗效研究[J].实用中西医结合临床,2023,23(4): |
| 诱导膜技术联合中医康复治疗胫骨骨缺损的疗效研究 |
| Clinical study on induction membrane technique combined with TCM rehabilitation in repairing tibial bone defects |
| 投稿时间：2022-12-16 修订日期：2023-02-22 |
| DOI： |
| 中文关键词: 中医康复 中医治疗 骨缺损 诱导膜技术 |
| 英文关键词: TCM rehabilitation TCM treatment Bone defect Induced membrane technology. |
| 基金项目: |
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| 中文摘要: |
| 目的：观察中医康复对诱导膜技术治疗胫骨骨缺损患者肢体功能康复的影响。方法：选择142例符合诊疗标准的胫骨骨髓炎患者随机分为中医康复组和对照组。所有患者均接受了两次手术。第一次手术进行清创、病灶切除,并安置抗生素骨水泥。在抗感染治疗2个月以上,确认感染被消灭的情况下,予以第二次手术,去除骨水泥后进行自体松质骨植骨。每次手术拆线后中医康复组都予以中医推拿治疗和石氏伤科特色外用药物治疗,每2日一次,疗程为2个月。在第二次手术后第6个月、第12个月的观察点上分别对两组患者采用Edwards胫骨骨折疗效评价系统和植骨区域CT值的测量数据分析,评价治疗后6个月和12个月时的肢体功能和骨愈合情况。结果： Edwards评分显示,第二次手术后第6个月、第12个月中医康复组在疼痛、肿胀和关节活动度等方面数据较对照组有统计学意义；在植骨区域CT值的比较上第二次手术后第6个月、第12个月中医康复组植骨区域CT值数据差异有统计学意义。额外的组织学研究分析,中医康复组生物膜组织密度和毛细血管网密集程度均较对照组高。结论：中医康复有助于诱导膜技术治疗胫骨骨缺损患者肢体功能的康复,有利于促进植骨后骨愈合,有临床运用价值。 |
| 英文摘要: |
| Objective: To observe the effect of TCM rehabilitation on the rehabilitation of limb function in patients with tibial bone defect treated by induced membrane technology. Methods: 142 patients with tibial osteomyelitis who met the diagnosis and treatment criteria were randomly divided into TCM rehabilitation group and control group. All patients accepted twice operations. The main tasks of first operation contain debridement, focus resection, and placement of antibiotic bone cement. After anti infection treatment for more than 2 months, the infection is confirmed to be eliminated, the second operation would be performed to autogenous cancellous bone graft after removal of bone cement. After the time the surgical suture removed of each operation the patients in TCM rehabilitation group were treated with TCM massage therapy and Shi"s Traumatology characteristic external medicine, once every 2 days for 2 months. Edwards tibial fracture efficacy evaluation system and the data of CT value in bone grafting area were used to evaluate the limb function and boneSformation at the observation time point at 6th and 12th month after the treatment. Results: Edwards score showed that at 6th month and 12th month after the second operation, the data of pain, swelling and joint range of motion in the TCM rehabilitation group were statistically significant compared with those in the control group. At the same observation time point, there was also significant difference in CT value in bone grafting area between the two groups. Additional histological research and analysis showed that the density of biofilm tissue and the density of capillary network in the TCM rehabilitation group were higher than those in the control group. Conclusion: The TCM rehabilitation is helpful to the rehabilitation of limb function of patients with tibial bone defect treated by induced membrane technology, promote bone healing after bone grafting, and has clinical application value. |
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