CAJ | 학술논문

目的：探讨外固定支架行损伤控制治疗在创伤骨科修复中的作用。方法选取该院骨科2011-01～2012-12收治的创伤性股骨骨折患者92例随机分为两组，对照组46例行一期切开复位内固定术；观察组46例行一期外固定术，待病情稳定后行二期切开复位手术。比较两组患者手术时间、切口长度、骨折愈合时间、乳酸持续时间和凝血恢复时间等指标。结果观察组的手术时间、切口长度、骨折愈合时间、乳酸持续时间和凝血恢复时间均明显短于对照组（ P＜0.01）。结论外固定支架在骨科修复时进行创伤控制效果良好，值得临床推广应用。
목적：탐토외고정지가행손상공제치료재창상골과수복중적작용。방법선취해원골과2011-01～2012-12수치적창상성고골골절환자92례수궤분위량조，대조조46례행일기절개복위내고정술；관찰조46례행일기외고정술，대병정은정후행이기절개복위수술。비교량조환자수술시간、절구장도、골절유합시간、유산지속시간화응혈회복시간등지표。결과관찰조적수술시간、절구장도、골절유합시간、유산지속시간화응혈회복시간균명현단우대조조（ P＜0.01）。결론외고정지가재골과수복시진행창상공제효과량호，치득림상추엄응용。
Objective To explore the effect of damage control treatment with external fixators in the traumat -ic orthopedics repair .Methods Ninety-two patients with traumatic femoral fracture treated in our hospital′s depart-ment of orthopedics from January 2011 to December 2012 were randomly divided into two groups .Forty-six patients in the control group received the primary open reduction and internal fixation , while the other 46 patients in the observa-tion group received the first phase of external fixation .After the patients′conditions became stable , the observation group received the sencondary open reduction .Comparison was carried out on the indicators such as the operation time, the incision length, the fracture healing time, the lactic acid duration, the clotting recovery time and so on be-tween the two groups .Results The operation time , the incision length , the fracture healing time , the lactic acid du-ration and the clotting recovery time of the observation group were remarkably shorter than those of the control group ( P<0.01 ) .Conclusion The effects of damage control treatment with external fixators are good in the traumatic or-thopedics repair and therefore this kind of treatment is worth popularization in clinical use .