摘要
目的探讨同种异体骨联合自体肋骨的复合骨移植应用于脊柱侧凸矫形的围手术期治疗。方法对2002年3月～2006年3月收治的112例脊柱侧凸患者进行回顾性分析。依照植骨方法的不同分为异体骨组(同种异体骨联合自体肋骨)和单纯自体骨组(自体髂骨联合自体肋骨)。所有病例均行一期后路矫形植骨内固定。术后连续随访1.5～5.5年。结果异体骨组患者需要留置引流管的时间以及体温、白细胞、血沉恢复正常的时间均较单纯自体骨组长,2组愈合率均满意,且均无感染、无延迟愈合、无假关节形成或术后失代偿。结论在脊柱侧凸矫形术中,复合植骨是替代自体骨移植的理想方法,可以避免自体髂骨取骨带来的各种并发症。
objective To investigate the method of using allograft bone combine with autograft rib bone in the treatment of spinal scoliosis in perioperative period. Methods A retrospective study was made in 112 cases with scoliosis, who were admitted to our hospital between March of 2002 to March of 2006. These patients were divided into allograft bone group （ received allograft bone combine with autologous rib bone grafting） and autologous bone group （received iliac bone grafting） according to the difference of bone grafting. All patients underwent one-stage posterior deformity correction, bone grafting and internal fixation. The patients were followed up for 1.5 to 5.5 years. Results The normalization time of temperature, WBC, ESR and the time of remaining drain tube in allograft bone group were longer than those in autologous bone group. Healing rate was satisfactory in both group. And the incident of infection, late healed, pseudoarticulation formation and postoperative decompensation were never happened in both group in follow-up time. Conclusion Allograft bone combine with autologous rib bone grafting is a good method to substitute autologous bone grafting in the treatment of spinal scoliosis, which can prevent the compications induced by removing iliac bone.
出处
《脊柱外科杂志》
2008年第2期83-87,共5页
Journal of Spinal Surgery
关键词
脊柱侧凸
移植
同种
脊柱融合术
内固定器
手术期间
Scoliosis
Transplantation,homologous
Spinal fusion
Internal fixators
Intraoperative period
