中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2013年
14期
154-155,157
,共3页
长节段骨干骨折%粉碎性骨折%弹性复位固定治疗
長節段骨榦骨摺%粉碎性骨摺%彈性複位固定治療
장절단골간골절%분쇄성골절%탄성복위고정치료
Long-segment diaphysis fracture%Comminuted fracture%Elastic replacement and fixation
目的探讨采用弹性复位固定治疗长节段骨干粉碎性骨折的临床技巧和疗效。方法选取2005年1月～2011年5月期间在我院治疗的长节段骨干粉碎性骨折患者49例为观察组，采用弹性复位固定方案进行治疗，同时选取这一时期采用髓内取骨植骨内固定治疗的50例长节段骨干粉碎性骨折患者为对照组，并对所有患者进行为期6～18个月的随访。结果本组49例均痊愈出院，经X线复查，本组患者皆无成角，对线好，骨折端无一例出现移位现象，评定结果中效果明显者29例，有效20例，有效率为100%，经随访可知观察组患者均未出现功能障碍、肢体畸形或者钢板出现断裂或者松动等现象；对照组患者效果明显25例，有效19例，效果差6例，总有效率为88%；两组患者总有效率差异有统计学意义（P＜0.05）。结论采用弹性复位固定治疗长节段骨干粉碎性骨折固定可靠，创伤小，并发症少，无需特殊器械，骨折愈合时间短，操作简单，消耗时间少，是科学、有效的治疗方法，值得临床推广应用。
目的探討採用彈性複位固定治療長節段骨榦粉碎性骨摺的臨床技巧和療效。方法選取2005年1月～2011年5月期間在我院治療的長節段骨榦粉碎性骨摺患者49例為觀察組，採用彈性複位固定方案進行治療，同時選取這一時期採用髓內取骨植骨內固定治療的50例長節段骨榦粉碎性骨摺患者為對照組，併對所有患者進行為期6～18箇月的隨訪。結果本組49例均痊愈齣院，經X線複查，本組患者皆無成角，對線好，骨摺耑無一例齣現移位現象，評定結果中效果明顯者29例，有效20例，有效率為100%，經隨訪可知觀察組患者均未齣現功能障礙、肢體畸形或者鋼闆齣現斷裂或者鬆動等現象；對照組患者效果明顯25例，有效19例，效果差6例，總有效率為88%；兩組患者總有效率差異有統計學意義（P＜0.05）。結論採用彈性複位固定治療長節段骨榦粉碎性骨摺固定可靠，創傷小，併髮癥少，無需特殊器械，骨摺愈閤時間短，操作簡單，消耗時間少，是科學、有效的治療方法，值得臨床推廣應用。
목적탐토채용탄성복위고정치료장절단골간분쇄성골절적림상기교화료효。방법선취2005년1월～2011년5월기간재아원치료적장절단골간분쇄성골절환자49례위관찰조，채용탄성복위고정방안진행치료，동시선취저일시기채용수내취골식골내고정치료적50례장절단골간분쇄성골절환자위대조조，병대소유환자진행위기6～18개월적수방。결과본조49례균전유출원，경X선복사，본조환자개무성각，대선호，골절단무일례출현이위현상，평정결과중효과명현자29례，유효20례，유효솔위100%，경수방가지관찰조환자균미출현공능장애、지체기형혹자강판출현단렬혹자송동등현상；대조조환자효과명현25례，유효19례，효과차6례，총유효솔위88%；량조환자총유효솔차이유통계학의의（P＜0.05）。결론채용탄성복위고정치료장절단골간분쇄성골절고정가고，창상소，병발증소，무수특수기계，골절유합시간단，조작간단，소모시간소，시과학、유효적치료방법，치득림상추엄응용。
Objective To explore the skill and clinical effect of elastic replacement and fixation on long-segment diaphysis comminuted fracture. Methods 49 cases with long-segment diaphysis comminuted fracture collected in our hospital from January 2005 to May 2011 were chosen as the observation group and the program of elastic replacement and fixation was measured. 50 cases with long-segment diaphysis comminuted fracture collected during the same period were treated as the control group with internal fixation with medullary bone grafting. All the patients were follow-up visited in the coming 6-18 months. Results 49 cases were recurred and no angel and no displacement in the fracture appeared. The results showed that 29 cases were excellent, 20 cases were effective and the effective rate was 100%. And the follow-up visit showed that no dysfunction, limbs deformity or steel rupture/start appeared in the observation group. In the control group, the results showed that 25 cases were excellent, 19 cases were effective, 6 cases were bad and the effective rate was 88%. There was significant difference in the effective rate between two groups(P < 0.05). Conclusion Elastic replacement and fixation on long-segment diaphysis comminuted fracture has reliable fixation, less damage, less complications and no special instrument, shorter fracture healing time, simple operation, less consumption time, and is scientific and effective treatment method, and worthy of clinical application.
