体外冲击波治疗术后骨折不愈合：对其机制、疗效、安全性及预后因素的见解（综述）
Extracorporeal shock wave treatment for post‑surgical fracture nonunion: Insight into its mechanism, efficacy, safety and prognostic factors (Review).
作者信息
Wang Haoyu, Shi Yaxuan
机构信息
Department of Orthopaedics, Inner Mongolia Medical University, Hohhot, Inner Mongolia Autonomous Region 010050, P.R. China.
Department of Internal Medicine (Bone Oncology), Inner Mongolia Medical University, Hohhot, Inner Mongolia Autonomous Region 010050, P.R. China.
出版信息
Exp Ther Med. 2023 May 19;26(1):332. doi: 10.3892/etm.2023.12031. eCollection 2023 Jul.
Post-surgical fracture nonunion (PSFN) represents the failure to achieve cortical continuity at radiological examination after an orthopedic operation, which causes a considerable disease burden in patients with fractures. As one of the traditional treatment modalities, surgical therapy is associated with a high fracture union rate; however, post-surgical complications are not negligible. Therefore, less invasive therapies are needed to improve the prognosis of patients with PSFN. Extracorporeal shock wave treatment (ESWT) is a noninvasive method that presents a similar efficacy profile and favorable safety profile compared with surgical treatment. However, the application and detailed mechanism of ESWT in patients with PSFN remain unclear. The present review focuses on the mechanism, efficacy, safety and prognostic factors of ESWT in patients with PSFN, aiming to provide a theoretical basis for its application and improve the prognosis of these patients.
术后骨折不愈合（PSFN）是指骨科手术后影像学检查显示皮质骨未实现连续性，这给骨折患者带来了相当大的疾病负担。作为传统治疗方式之一，手术治疗的骨折愈合率较高；然而，术后并发症也不容忽视。因此，需要采用侵入性较小的治疗方法来改善PSFN患者的预后。体外冲击波治疗（ESWT）是一种非侵入性方法，与手术治疗相比，具有相似的疗效和良好的安全性。然而，ESWT在PSFN患者中的应用及具体机制仍不清楚。本综述聚焦于ESWT治疗PSFN患者的机制、疗效、安全性及预后因素，旨在为其应用提供理论依据并改善这些患者的预后。
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