纳米羟基磷灰石/聚酰胺66骨填充材料与自体骨修复良性骨肿瘤术后骨缺损的对比研究

Role of nano-hydroxyapatite/polyamide 66 and autologous bone composite in repairing bone defects due to benign bone tumor:A comparative study

  • 摘要: 目的 比较纳米羟基磷灰石/聚酰胺66骨填充材料与自体骨修复良性骨肿瘤术后骨缺损的临床效果。方法 2007年1月-2009年3月,选取52例良性骨肿瘤患者随机分成A、B两组,行肿瘤刮除术,A组瘤腔用颗粒型及条形纳米羟基磷灰石/聚酰胺66骨填充材料填充,B组用自体骨填充,伤口常规缝合;比较两组手术时间、术中失血量、术后血沉及C反应蛋白变化情况,评价骨缺损愈合情况。结果 纳米羟基磷灰石/聚酰胺66材料填充组与自体髂骨填充组比较,手术时间明显缩短(P<0.01),失血量明显减少(P<0.01),两组对修复良性骨肿瘤术后骨缺损疗效相当。结论 纳米羟基磷灰石/聚酰胺66骨填充材料是修复良性骨肿瘤术后骨缺损的优良材料。

     

    Abstract: Objective To compare the therapeutic effect of nano-hydroxyapatite/ polyamide 66 and autologous bone composite on repair of bone defects due to benign bone tumor.Methods Fifty-two patients with bone defects due to benign bone tumors admitted to our hospital in January 2007-March 2009 were randomly divided into group A and group B.Curettage of tumors was performed in patients of groups A and B.The cavities of tumors were filled with nano-hydroxyapatite/polyamide 66 and autologous bone composite,respectively,in group A and group B.The wound was routinely sutured.The operation time,blood loss in operation,blood sedimentation,and C-reactive protein were compared and the healing of bone defects was assessed.Results The operation time was shorter and blood lose during operation was less in group A than in group B(P<0.01).No statistical difference was observed in healing of bone defects after operation between the two groups.Conclusion Nano-hydroxyapatite/polyamide 66 can be used in repair of bone defects due to benign bone tumors.

     

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