Abstract: 5%-10% of all fractures evolve into a delayed union or nonunion. Surgery is still considered as the “golden standard” for the treatment of fracture nonunion and usually requires debriding the non-union gap， reopeningthe bone marrow cavity and bone grafting. However， surgery has the problems of large trauma， infection and implant related problems requiring an additional surgery. In recent years， extracorporeal shock wave therapy （ESWT） ，because of its advantages of non-invasive， high efficiency and low cost，as been widely used in the treatment of bone and muscle diseases， especially in the treatment of delayed union and nonunion of fracture. This article reviews the progress of extracorporeal shock wave therapy in the treatment of fracture nonunion， hoping to be useful in clinical practice.

Key words: extracorporeal shock wave therapy, nonunion, delayed union

摘要： 骨折后延迟愈合及骨不连的发生率高达5%~10%，目前手术是治疗骨不连的“黄金标准”，主要包括清理骨折断端、再通髓腔、自体骨移植及更换固定方式，但骨不连的手术治疗存在创伤大、感染以及二次手术取出内固定的问题。近年来，体外冲击波疗法（ESWT）因其无创、高效、低廉等优势在骨肌疾病的治疗中得到广泛应用，尤其在治疗骨折延迟愈合和骨不连方面取得良好疗效，本文就体外冲击波疗法在治疗骨折骨不连的进展做一综述，期望能够对临床工作有所帮助。

关键词: 体外冲击波疗法, 骨折延迟愈合, 骨不连