CAJ | 학술논문

目的：对急诊中应用外固定支架治疗开放性胫腓骨折的临床效果进行探讨与分析。方法选取2010年12月—2012年12月在该院急诊接受治疗的严重开放性胫腓骨折患者78例,对患者的临床资料进行回顾性分析,所有患者进过彻底的清创处理后均使用孟和全环式外固定架进行外固定治疗,并对患者治疗后的恢复情况以及不良反应情况进行观察。结果经过1~2年的随访调查,78例患者中有69例行单纯外固定架治疗患者达到骨性愈合标准,平均愈合时间为28周；9例患者在进行外固定支架治疗6个月后将外固定架拆除对患者进行钢板内固定术以及自体髂骨植骨术后达到骨性愈合标准,平均的愈合时间为36周,骨折愈合率为88.46%；3例出现针孔处的感染和松动,感染率为3.85%；未见骨折畸形愈合,再断裂以及继发性骨髓炎。结论急诊中应用外固定支架治疗开放性胫腓骨折的临床效果显著,值得临床应用和推广。
목적：대급진중응용외고정지가치료개방성경비골절적림상효과진행탐토여분석。방법선취2010년12월—2012년12월재해원급진접수치료적엄중개방성경비골절환자78례,대환자적림상자료진행회고성분석,소유환자진과철저적청창처리후균사용맹화전배식외고정가진행외고정치료,병대환자치료후적회복정황이급불량반응정황진행관찰。결과경과1~2년적수방조사,78례환자중유69례행단순외고정가치료환자체도골성유합표준,평균유합시간위28주；9례환자재진행외고정지가치료6개월후장외고정가탁제대환자진행강판내고정술이급자체가골식골술후체도골성유합표준,평균적유합시간위36주,골절유합솔위88.46%；3례출현침공처적감염화송동,감염솔위3.85%；미견골절기형유합,재단렬이급계발성골수염。결론급진중응용외고정지가치료개방성경비골절적림상효과현저,치득림상응용화추엄。
Objective To explore the application for the emergency treatment of external fixation of open fractures of the tibia and fibula.Methods A total of 78 cases were selected as research subjects from De-cember 2010 to December 2012 in author's hospital during the emergency treatment of patients with severe open fractures of the tibia and fibula,the patient's clinical data were analyzed retrospectively.All patients who had a thorough debridement were treated with Meng and full ring external fixation,the recovery of pa-tients after treatment and adverse reactions were observed.Results After 1 to 2 years of follow-up sur-vey,78 patients had 69 routine simple external fixator patients achieved bony union,the average healing time was 28 weeks;another 9 patients during external fixation after 6 months of treatment the removal of the external fixator patients with plate fixation and autogenous iliac bone graft bone healing after reaching the standard,the average healing time was 36 weeks,fracture healing rate was 88.46%.Although three ca-ses appeared infection and loosening at a pinhole,infection rate was 3.85%.But there were no malunion, broken again and secondary osteomyelitis.Conclusion The application of external fixation emergency in the treatment of open fractures of the tibia and fibula is significant effect,it is worthy of application and promotion in clinic.