CAJ | 학술논문

目的：探讨骨盆骨折采用钢板内固定联合外固定治疗的效果。方法将72例骨盆骨折患者按数字随机法分为A组和B组，每组患者36例。A组患者在B组的基础上采用钢板外固定进行治疗，B组患者采用钢板内固定进行治疗。所有患者均给予3个月~3年的随访。比较两组患者的治疗效果、疼痛评分以及不良反应和并发症发生情况。结果与B组比较，A组患者治疗效果优良的患者比例显著增加，数字疼痛评分得分以及不良反应和并发症发生率均下降，差异有统计学意义（P＜0.05）。结论钢板内固定联合外固定治疗骨盆骨折可有效缓解患者的疼痛，减少不良反应和并发症的发生，疗效显著，值得临床推广使用。
목적：탐토골분골절채용강판내고정연합외고정치료적효과。방법장72례골분골절환자안수자수궤법분위A조화B조，매조환자36례。A조환자재B조적기출상채용강판외고정진행치료，B조환자채용강판내고정진행치료。소유환자균급여3개월~3년적수방。비교량조환자적치료효과、동통평분이급불량반응화병발증발생정황。결과여B조비교，A조환자치료효과우량적환자비례현저증가，수자동통평분득분이급불량반응화병발증발생솔균하강，차이유통계학의의（P＜0.05）。결론강판내고정연합외고정치료골분골절가유효완해환자적동통，감소불량반응화병발증적발생，료효현저，치득림상추엄사용。
Objective To explore the effect of plate fixation combined with external fixation in the treatment of pelvic fracture. Methods 72 patients with pelvic fractures were randomly divided in-to group A and group B by digital method, 36 cases in each group. On the basis of group B, pa-tients in group A were treated with plate external fixation, patients of group B were treated with plate fixation. All patients were given followup of 3 months to 3 years. Therapeutic effect pain scores and the incidence of adverse reactions and complications of the two groups were compared. Results Compared with group B, proportion of patients with an excellent therapeutic effect in group A increased significantly, numeric pain rating score and the incidence of adverse reactions and complications decreased, the difference was statistically significant (P<0.01). Conclusion Plate fixation combined external fixation in the treatment of pelvic fractures can relieve the patient's pain, reduce the incidence of adverse reactions and complications. The effect was significant. It was worthy of clinical use.