中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2015年
14期
42-43
,共2页
四肢长骨干骨折%骨不连%原因
四肢長骨榦骨摺%骨不連%原因
사지장골간골절%골불련%원인
Limbs long bone shaft fracture%Nonunion%Causes
目的：探讨四肢长骨干骨折术后骨不连的原因，并总结预防措施。方法回顾性分析65例四肢长骨干骨折术后骨不连患者的病历资料，统计导致骨不连发生的原因。结果65例患者骨不连原因分析，个体因素者31例，占47.69%；有操作因素者30例，占46.15%；依从性差者20例，占30.77%。结论四肢长骨干骨折术后骨不连与多种因素有关，个体因素和操作因素是术后骨不连发生的主要原因，行骨折内固定术时，术者要注重个体差异，遵循内固定原则进行操作，提高患者依从性，减少骨不连发生。
目的：探討四肢長骨榦骨摺術後骨不連的原因，併總結預防措施。方法迴顧性分析65例四肢長骨榦骨摺術後骨不連患者的病歷資料，統計導緻骨不連髮生的原因。結果65例患者骨不連原因分析，箇體因素者31例，佔47.69%；有操作因素者30例，佔46.15%；依從性差者20例，佔30.77%。結論四肢長骨榦骨摺術後骨不連與多種因素有關，箇體因素和操作因素是術後骨不連髮生的主要原因，行骨摺內固定術時，術者要註重箇體差異，遵循內固定原則進行操作，提高患者依從性，減少骨不連髮生。
목적：탐토사지장골간골절술후골불련적원인，병총결예방조시。방법회고성분석65례사지장골간골절술후골불련환자적병력자료，통계도치골불련발생적원인。결과65례환자골불련원인분석，개체인소자31례，점47.69%；유조작인소자30례，점46.15%；의종성차자20례，점30.77%。결론사지장골간골절술후골불련여다충인소유관，개체인소화조작인소시술후골불련발생적주요원인，행골절내고정술시，술자요주중개체차이，준순내고정원칙진행조작，제고환자의종성，감소골불련발생。
Objective To investigate the causes of nonunion after limbs long bone shaft fracture operation, and to summarize prevention measures.Methods Clinical data of 65 patients with nonunion after limbs long bone shaft fracture operation were retrospectively analyzed, and their causes for nonunion were summarized. Results Analysis of nonunion in 65 patients showed that there were 31 cases due to individual factors, accounting for 47.69%, 30 cases due to operation factors, accounting for 46.15%, and 20 cases due to poor compliance, accounting for 30.77%.Conclusion Nonunion after limbs long bone shaft fracture operation is related with several causes, mainly with individual factors and operation factors. Implement of internal fixation should follow operational principles while considering individual differences, in order to improve patients’ compliance and reduce incidence of nonunion.
