中国医药科学
中國醫藥科學
중국의약과학
China Medicine and Pharmacy
2015年
14期
192-194
,共3页
外固定支架%损伤控制性治疗%创伤骨科%修复
外固定支架%損傷控製性治療%創傷骨科%脩複
외고정지가%손상공제성치료%창상골과%수복
External fixator%Damage control surgery%Department of orthopedics and trauma%Repair
目的 探讨外固定支架进行损伤控制性治疗在创伤骨科修复中的应用疗效.方法 选取2012年5月~ 2014年2月来我院就诊的创伤骨折患者75 例,所有患者随机分为观察组38例与对照组37例.观察组采取外固定架损伤控制性手术进行治疗,对照组采用切开复位内固定方法治疗.对两组患者手术情况,术后恢复情况及手术后并发症进行观察及比较.结果 观察组患者的手术时间、切口长度及术中出血量明显低于对照组患者(P<0.05).观察组患者的乳酸持续时间、体温恢复时间、骨折愈合时间及凝血功能恢复时间皆短于对照组患者,两组患者比较,差异均有统计学意义(P<0.05).观察组患者并发症总发生率为13.15%,对照组患者并发症总发生率为35.14%,两组比较差异均有统计学意义(P<0.05).结论 外固定支架在骨科修复时进行创伤控制效果良好,提高临床疗效,并发症发生率低,值得临床推广应用.
目的 探討外固定支架進行損傷控製性治療在創傷骨科脩複中的應用療效.方法 選取2012年5月~ 2014年2月來我院就診的創傷骨摺患者75 例,所有患者隨機分為觀察組38例與對照組37例.觀察組採取外固定架損傷控製性手術進行治療,對照組採用切開複位內固定方法治療.對兩組患者手術情況,術後恢複情況及手術後併髮癥進行觀察及比較.結果 觀察組患者的手術時間、切口長度及術中齣血量明顯低于對照組患者(P<0.05).觀察組患者的乳痠持續時間、體溫恢複時間、骨摺愈閤時間及凝血功能恢複時間皆短于對照組患者,兩組患者比較,差異均有統計學意義(P<0.05).觀察組患者併髮癥總髮生率為13.15%,對照組患者併髮癥總髮生率為35.14%,兩組比較差異均有統計學意義(P<0.05).結論 外固定支架在骨科脩複時進行創傷控製效果良好,提高臨床療效,併髮癥髮生率低,值得臨床推廣應用.
목적 탐토외고정지가진행손상공제성치료재창상골과수복중적응용료효.방법 선취2012년5월~ 2014년2월래아원취진적창상골절환자75 례,소유환자수궤분위관찰조38례여대조조37례.관찰조채취외고정가손상공제성수술진행치료,대조조채용절개복위내고정방법치료.대량조환자수술정황,술후회복정황급수술후병발증진행관찰급비교.결과 관찰조환자적수술시간、절구장도급술중출혈량명현저우대조조환자(P<0.05).관찰조환자적유산지속시간、체온회복시간、골절유합시간급응혈공능회복시간개단우대조조환자,량조환자비교,차이균유통계학의의(P<0.05).관찰조환자병발증총발생솔위13.15%,대조조환자병발증총발생솔위35.14%,량조비교차이균유통계학의의(P<0.05).결론 외고정지가재골과수복시진행창상공제효과량호,제고림상료효,병발증발생솔저,치득림상추엄응용.
Objective To explore the effect of external fixator damage control therapy in the application of traumatic fracture repair.Methods 75 patients of traumatic fractures from 2012 May to 2014 February in our hospital were all collected, and were randomly divided into observation group of 38 cases and control group of 37 cases. The observation group was treated with external fixator damage control surgery, and the control group was treated with open reduction and internal fixation. The operation, postoperative recovery and complications of patients in the two groups were observed and completed.ResultsThe operation time, incision length and intraoperative amount of bleeding of patients in the observation group were lower than those in the control group(P<0.05).The lactic acid duration, body temperature recovery time, wound healing time and coagulation function recovery time of patients in the observation group were shorter than that those in the control group, the difference was statistically significant between the two groups(P<0.05). The overall complication rate of the observation group was 13.15%, 35.14% in the control group, the difference was statistically significant between the two groups(P<0.05).Conclusion External fixation damage control therapy during the traumatic fracture repair has good control effect, can improve the clinical effect, lower the incidence of complications, and it is worthy of clinical application.
