CAJ | 학술논문

目的探讨利用外固定支架加压牵开技术治疗长管状骨非感染性不愈合的疗效和安全性.方法 43例患者按就诊顺序结合随机号码,奇数进入观察组,偶数进入对照组,观察组(22例)采用外固定支架加压牵开治疗,对照组(21例)采用外固定支架结合锁定钢板固定加植骨治疗,比较两组疗效.结果 43例患者均获随访,随访时间为6～15个月,平均随访时间7.5个月；骨折愈合时间3～14个月,平均愈合时间5.1个月；43例患者均全部骨性愈合；疗效比较,观察组总优良率81.8％,对照组总优良率66.7％,观察组疗效优于对照(Z =9.654,P=0.001);两组不良反应和并发症差异无统计学意义(x2=0.068,P=0.795).结论外固定支架加压牵开术治疗长管状骨非感染性不愈合,疗效显著,可以在临床推广应用.
목적 탐토이용외고정지가가압견개기술치료장관상골비감염성불유합적료효화안전성.방법 43례환자안취진순서결합수궤호마,기수진입관찰조,우수진입대조조,관찰조(22례)채용외고정지가가압견개치료,대조조(21례)채용외고정지가결합쇄정강판고정가식골치료,비교량조료효.결과 43례환자균획수방,수방시간위6～15개월,평균수방시간7.5개월；골절유합시간3～14개월,평균유합시간5.1개월；43례환자균전부골성유합；료효비교,관찰조총우량솔81.8％,대조조총우량솔66.7％,관찰조료효우우대조(Z =9.654,P=0.001);량조불량반응화병발증차이무통계학의의(x2=0.068,P=0.795).결론 외고정지가가압견개술치료장관상골비감염성불유합,료효현저,가이재림상추엄응용.
Objective To explore the effect and safety of compression and distraction technique by external fixation without grafting in treatment of noninfectious nonunion of tubular fractures.Methods 43 patients were randomly divided into 2 groups by visiting sequence with random number,odd into the observation group,even into the control group.The observation group(22 cases) adopted the external fixation retractor pressure treatment,the control group(21 cases) was given extemal fixation combined with locking plate treatment.The efficacy of two groups was compared.Results 43 patients were followed up for 6 ～ 15 months,average 7.5 months.The bone healing time was 3 ～ 14 months,average 5.1 months.43 patients were all healed.The total effective rate of the observation group was 81.8％,which was significandy higher than 66.7％ in the control group (Z =9.654,P =0.001).There were no significant differences in adverse reactions and complications between the two groups (x2 =0.068,P =0.795).Conclusion The compression and distraction technique by external fixation in the treatment of noninfectious nonunion of tubular fractures has obvious curative effect,it can be widely used in clinical practice.