扩髓灌注抽吸系统临床应用的研究进展

Research Advances in Clinical Application of the Reamer-Irrigator-Aspirator

摘要: 骨缺损是指骨骼结构的不完整，这种不完整性往往会导致骨骼无法正常连接，进而引发延迟愈合，甚至出现不愈合的现象，同时还会造成肢体功能的障碍，影响患者的日常生活和活动能力。针对骨缺损的治疗，临床上通常会选择自体骨移植作为首选方案。自体骨移植因其良好的生物相容性和成骨能力，被广泛应用于骨缺损的修复中。而扩髓灌注抽吸系统作为一种新兴的自体骨移植技术，近年来受到了国内外众多学者的广泛关注和研究。该系统通过特殊的扩髓和灌注抽吸过程，能够有效地获取更多高质量的骨移植材料，并减少手术创伤。我们将对扩髓灌注抽吸系统进行全面综述，期望为该技术在临床实践中的应用提供科学、系统的参考依据。

Abstract: Bone defect refers to an incomplete bone structure, which often prevents normal osseous continuity, leading to delayed union or even nonunion. Consequently, it may result in functional impairment of the affected limb, adversely impacting the patient’s daily life and mobility. For the treatment of bone defects, autologous bone grafting is generally considered the clinical gold standard. Due to its excellent biocompatibility and osteogenic capacity, it is widely employed in the reconstruction of bone defects. As an emerging technique for autologous bone grafting, the reamer-irrigator-aspirator system has garnered significant attention and has been the subject of extensive research among scholars worldwide in recent years. This system facilitates the effective harvest of a greater quantity of high-quality bone graft material through its specialized reaming and simultaneous irrigation-aspiration process, while simultaneously minimizing surgical trauma. This paper aims to provide a comprehensive review of the reamer-irrigator-aspirator system, with the expectation of offering a scientific and systematic reference for its application in clinical practice.