CAJ | 학술논문

目的：研究四肢长骨骨不连患者使用骨皮质剥脱术联合锁定接骨板内固定术的临床效果及影响。方法选取64例（共64根长骨）我院2012年3月～2014年3月期间收治四肢长骨骨不连患者，将所有患者随机分为两组各32例。其中32例（32根长骨）患者使用单纯骨皮质剥脱术进行治疗作为对照组，另32例（32根长骨）使用骨皮质剥脱术与锁定接骨板内固定术进行联合治疗作为观察组。结果两组患者治疗后，根据治疗情况可见，观察组患者手术时间、术中出血量，与对照组比较差异无统计学意义（P＞0.05）；而随访后发现，观察组患者平均愈合时间、并发症发生率均比对照组患者要少，优良率比对照组患者高，明显好于对照组（P＜0.05）。结论骨皮质剥脱术联合锁定接骨板内固定术对于四肢长骨骨不连的治疗有显著效果，其并发症少、优良率高且平均愈合时间短，值得临床应用及推广。
목적：연구사지장골골불련환자사용골피질박탈술연합쇄정접골판내고정술적림상효과급영향。방법선취64례（공64근장골）아원2012년3월～2014년3월기간수치사지장골골불련환자，장소유환자수궤분위량조각32례。기중32례（32근장골）환자사용단순골피질박탈술진행치료작위대조조，령32례（32근장골）사용골피질박탈술여쇄정접골판내고정술진행연합치료작위관찰조。결과량조환자치료후，근거치료정황가견，관찰조환자수술시간、술중출혈량，여대조조비교차이무통계학의의（P＞0.05）；이수방후발현，관찰조환자평균유합시간、병발증발생솔균비대조조환자요소，우량솔비대조조환자고，명현호우대조조（P＜0.05）。결론골피질박탈술연합쇄정접골판내고정술대우사지장골골불련적치료유현저효과，기병발증소、우량솔고차평균유합시간단，치득림상응용급추엄。
Objective To study the clinical effect of nonunion cortical bone decortication joint locking plate fixation for the patients with long bone nonunion endarterectomy. Methods 64 cases with long bone nonunion(a total of 64 long bones)in our hospital from March 2012 to March 2014 were chosen.They were randomly divided into two groups,and 32 cases in each group.Of which 32 cases(32 long bone)w treated with pure cortical bone endarterectomy for treatment were as the control group,and the other 32 cases(32 long bone) with cortical bone decortication and locking plate fixation combination therapy were set as the observation group. Results After treatment,the therapeutic situation showed that the operative time,blood loss of the observation group had no difference with the control group (P > 0.05).Following up,the average healing time and complication rate in the observation group was less than the control group,good rate was higher than the control group,and it was significantly better than the control group (P < 0.05). Conclusion Cortical bone decortication joint locking plate fixation for long bone nonunion treatment has significant effect,it is with fewer complications,excellent rate and the average healing time is short,and it is worthy of clinical application and promotion.