中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2014年
5期
2749-2750
,共2页
胫骨骨折%骨折,不愈合%骨移植,骨折固定术
脛骨骨摺%骨摺,不愈閤%骨移植,骨摺固定術
경골골절%골절,불유합%골이식,골절고정술
Tibia fracture%Fracture%Not healed%Bone transplantation%Fracture fixation
目的：通过对28例胫骨骨折不愈合患者的临床治疗研究，分析造成其不愈合的原因。方法：收集我院自2005年6月至2013年5月8年间所收治的胫骨骨折不愈合患者28例，其中，男性16例，女性12例，年龄从12岁到73岁，平均38.7岁。交通事故所致17例，重物砸伤所致6例，摔伤所致4例，被别人打伤1例。闭合性骨折9例，开放性骨折19例。患者从首次治疗出院到再次入院时间在0.6—2年，均进行2次手术治疗，术后随访，并根据其症状、体征及影像学资料进行评估分析。结果：术后随访3-24个月，平均14个月，患者切口愈合良好，无感染，无皮肤坏死。全部患者未见骨不愈合、感染、畸形及再骨折发生。结论：胫骨骨折不愈合可以有胫骨本身解剖及生理特点，外伤程度及部位，手术治疗及术后功能锻炼等几个方面原因。
目的：通過對28例脛骨骨摺不愈閤患者的臨床治療研究，分析造成其不愈閤的原因。方法：收集我院自2005年6月至2013年5月8年間所收治的脛骨骨摺不愈閤患者28例，其中，男性16例，女性12例，年齡從12歲到73歲，平均38.7歲。交通事故所緻17例，重物砸傷所緻6例，摔傷所緻4例，被彆人打傷1例。閉閤性骨摺9例，開放性骨摺19例。患者從首次治療齣院到再次入院時間在0.6—2年，均進行2次手術治療，術後隨訪，併根據其癥狀、體徵及影像學資料進行評估分析。結果：術後隨訪3-24箇月，平均14箇月，患者切口愈閤良好，無感染，無皮膚壞死。全部患者未見骨不愈閤、感染、畸形及再骨摺髮生。結論：脛骨骨摺不愈閤可以有脛骨本身解剖及生理特點，外傷程度及部位，手術治療及術後功能鍛煉等幾箇方麵原因。
목적：통과대28례경골골절불유합환자적림상치료연구，분석조성기불유합적원인。방법：수집아원자2005년6월지2013년5월8년간소수치적경골골절불유합환자28례，기중，남성16례，녀성12례，년령종12세도73세，평균38.7세。교통사고소치17례，중물잡상소치6례，솔상소치4례，피별인타상1례。폐합성골절9례，개방성골절19례。환자종수차치료출원도재차입원시간재0.6—2년，균진행2차수술치료，술후수방，병근거기증상、체정급영상학자료진행평고분석。결과：술후수방3-24개월，평균14개월，환자절구유합량호，무감염，무피부배사。전부환자미견골불유합、감염、기형급재골절발생。결론：경골골절불유합가이유경골본신해부급생리특점，외상정도급부위，수술치료급술후공능단련등궤개방면원인。
Objective:Through the clinic analyses of 20 cases of tibia fracture, found the reasons which caused the tibia fracture not healed Method:From Jane 2005 to May 2013, In the 8 Months, 28 cases with tibia fracture not healed were col ected. Including 16 males and 12 females , with an average of 38.7 years old .(range,12 to 73 years old).17 cases were caused by the traffic accident ,6 cases were caused by heavy parts ,4 cases were caused by fal damage,1 case was caused by a fight;9 closed fractures ,19 open fractures .It was about 0.6-2 years from the time that the patients left hospital after first treated to the time that the patients returned .Through the second operations, al the patients was fol owed up, According to the symptoms、signs and images, we carried a evaluate and analyses .Result:Al the cases were fol owed up for an average of 14 months (range, 3 to 24 months). The fractures of al the cases were recovered .There were no complications such as infection of wound , skin necrosis , yet infection of bone didn't healed, deformity and broken again . Conclusion: There are some major reasons about tibia fracture, including the characteristics of anatomy and physiology of the tibia, the level and position of wound, operations and functional training.
