目的：探讨回填重建技术在自体髂骨植骨术中的应用价值。方法：将112例植骨患者随机分为观察组和对照组，各56例，观察组采用回填重建取髂骨植骨术治疗，对照组常规取髂骨植骨术治疗，比较两组的治疗效果。结果：观察组手术时间为（58.45±9.41）min，长于对照组的（46.82±18.24）min （P<0.05）。观察组的术中出血量为（33.56±8.56）mL，稍多于对照组的（32.48±9.23）mL，但差异无统计学意义（P>0.05）。观察组的伤口愈合时间为（7.78±1.31）d，短于对照组的（10.24±2.63）d（P<0.05）。观察组的住院时间为（9.62±2.93）d，短于对照组的（11.86±3.67）d（P<0.05）。观察组的并发症发生率为10.71%，低于对照组的26.78%（P<0.05）。术后12个月X线片结果显示，两组患者均骨性愈合。结论：回填重建技术取自体髂骨植骨术能减轻患者的术后并发症，促进骨缺损区早期愈合，改善患者生活质量，值得临床进一步推广应用。%Objective:To explore the application value of backfill reconstruction technique in autogenous iliac bone graft.Method:112 cases were randomly divided into observation group and control group,56 cases in each group, the observation group was treated with iliac bone graft,the control group was treated with iliac bone graft,and the treatment effect was compared between the two groups.Result:The operation time of the observation group was (58.45±9.41)min,which longer than (46.82±18.24)min in control group(P<0.05).The observation group of intraoperative bleeding in (33.56±8.56)mL,which was slightly more than (32.48±9.23)mL of the control group,but there was no significant difference between two groups(P>0.05).The wound healing time of the observation group was (7.78±1.31)d,which was shorter than (10.24±2.63)d of the control group(P<0.05). The hospitalization time of the observation group was (9.62±2.93)d,which shorter than (11.86±3.67)d of control group (P<0.05).The observation group complication rate was 10.71%,lower than 26.78% of the control group(P<0.05).12 months after the operation, the X-ray films showed that two groups of patients were healed. Conclusion:Autologous iliac bone graft can reduce the postoperative complications, promote the early healing of bone defect area and improve the quality of life of patients, it is worthy of clinical application.
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