中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2015年
8期
1201-1203
,共3页
骨折%四肢%延迟愈合
骨摺%四肢%延遲愈閤
골절%사지%연지유합
Fracture%Limbs%Delayed union
目的：分析四肢骨折内固定术后延迟愈合的因素及预防处理措施。方法回顾性分析220例四肢骨折患者内固定手术的临床资料，比较术后延迟愈合患者（观察组110例）与未延迟愈合患者（对照组110例）相关因素的差异。结果观察组年龄（62．6±10．2）岁、合并内科疾病者43．6％、内固定不牢固者比例25．5％、外固定不当者比例30．9％、功能锻炼不正确者比例56.4％，高于对照组的（50．5±9．4）岁、11.8％、1．8％、7．3％、8．2％（t＝9．1491，χ2＝27．786、26．091、58．416、19．893，均P＜0．05），而手术切口长度、性别构成、骨折部位等差异均无统计学意义（t＝1．8259，χ2＝0．308、0.073、0．073，均P＞0．05）。结论四肢骨折内固定术后延迟愈合因素较多，其中患者年龄大、合并内科疾病者、内固定不牢固、功能锻炼不正确、外固定管理不当是导致四肢骨折术后延迟愈合的主要因素，应及时的采取术前评估、术中牢固固定及正规的术后指导功能锻炼等措施，避免术后延迟愈合及不愈合的发生。
目的：分析四肢骨摺內固定術後延遲愈閤的因素及預防處理措施。方法迴顧性分析220例四肢骨摺患者內固定手術的臨床資料，比較術後延遲愈閤患者（觀察組110例）與未延遲愈閤患者（對照組110例）相關因素的差異。結果觀察組年齡（62．6±10．2）歲、閤併內科疾病者43．6％、內固定不牢固者比例25．5％、外固定不噹者比例30．9％、功能鍛煉不正確者比例56.4％，高于對照組的（50．5±9．4）歲、11.8％、1．8％、7．3％、8．2％（t＝9．1491，χ2＝27．786、26．091、58．416、19．893，均P＜0．05），而手術切口長度、性彆構成、骨摺部位等差異均無統計學意義（t＝1．8259，χ2＝0．308、0.073、0．073，均P＞0．05）。結論四肢骨摺內固定術後延遲愈閤因素較多，其中患者年齡大、閤併內科疾病者、內固定不牢固、功能鍛煉不正確、外固定管理不噹是導緻四肢骨摺術後延遲愈閤的主要因素，應及時的採取術前評估、術中牢固固定及正規的術後指導功能鍛煉等措施，避免術後延遲愈閤及不愈閤的髮生。
목적：분석사지골절내고정술후연지유합적인소급예방처리조시。방법회고성분석220례사지골절환자내고정수술적림상자료，비교술후연지유합환자（관찰조110례）여미연지유합환자（대조조110례）상관인소적차이。결과관찰조년령（62．6±10．2）세、합병내과질병자43．6％、내고정불뢰고자비례25．5％、외고정불당자비례30．9％、공능단련불정학자비례56.4％，고우대조조적（50．5±9．4）세、11.8％、1．8％、7．3％、8．2％（t＝9．1491，χ2＝27．786、26．091、58．416、19．893，균P＜0．05），이수술절구장도、성별구성、골절부위등차이균무통계학의의（t＝1．8259，χ2＝0．308、0.073、0．073，균P＞0．05）。결론사지골절내고정술후연지유합인소교다，기중환자년령대、합병내과질병자、내고정불뢰고、공능단련불정학、외고정관리불당시도치사지골절술후연지유합적주요인소，응급시적채취술전평고、술중뢰고고정급정규적술후지도공능단련등조시，피면술후연지유합급불유합적발생。
Objective To analyze the reasons of the delayed healing factors after internal fixation of limb fracture and the prevention and treatment measures.Methods 220 cases who were treated with internal fixation of fracture cases were retrospectively analyzed,compared difference with patients with postoperative (observation group of 1 10 cases)and non delay healing patients (1 10 cases in the control group)related factors.Results In the obser-vation group,age (62.6 ±10.2)years old,43.6% with diseases in department of internal medicine,the loose of internal fixation ratio was 25.5%,external fixation improper proportion was 30.9%,functional exercise did not correct rate was 56.4%,higher than those of the control group (50.5 ±9.4)years old,11.8%,1.8%,7.3%,8.2%%(t=9.149 1,χ2 =27.786,26.091,58.416,19.893,all P<0.05),but there was no statistically significance in operation incision length,gender composition,the fracture site (t =1.825 9,χ2 =0.308,0.073,0.073,all P >0.05 ). Conclusion There are many factors in delayed healing after internal fixation of limb fracture,the patients age,associ-ated with diseases in department of internal medicine,the loose of internal fixation,external fixation and functional exercise is not correct are the main factor of the limbs fracture postoperative delayed healing,and should take meas-ures timely to guide firmly fixed and regular postoperative preoperative exercise and avoid postoperative delayed union and nonunion.
