中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
20期
99-100
,共2页
扩髓%股骨骨折%髓内固定
擴髓%股骨骨摺%髓內固定
확수%고골골절%수내고정
Reamed intramedullary%Fracture of the femur%Intramedullary fixation
目的：对开放性股骨干骨折急诊扩髓治疗的疗效进行观察研究。方法：2008年5月-2013年3月收治开放性股骨干骨折患者38例，行急诊扩髓髓内钉固定治疗，患者手术时间≤24小时，抽取同期40例手术时间＞24小时的开放性股骨干骨折扩髓髓内钉固定患者作对照，对两组临床资料进行回顾性分析，观察两组开放损伤程度、合并伤情况、住院时间等各项指标。结果：观察组合并休克20例(52.6%)，对照组12例(30.0%)，两者差异有统计学意义(P＜0.05)，两组 ISS 评分及合并伤情况差异无统计学意义(P＞0.05)，两组Ⅲ型开放伤程度及住院时间差异有统计学意义(P＜0.05)。结论：控制休克，维持患者生命体征平稳在开放性股骨干骨折急诊扩髓及髓内钉固定治疗中尤为重要，此疗法未增加患者并发症的发生率及死亡率，对促进患者康复具有重要意义。
目的：對開放性股骨榦骨摺急診擴髓治療的療效進行觀察研究。方法：2008年5月-2013年3月收治開放性股骨榦骨摺患者38例，行急診擴髓髓內釘固定治療，患者手術時間≤24小時，抽取同期40例手術時間＞24小時的開放性股骨榦骨摺擴髓髓內釘固定患者作對照，對兩組臨床資料進行迴顧性分析，觀察兩組開放損傷程度、閤併傷情況、住院時間等各項指標。結果：觀察組閤併休剋20例(52.6%)，對照組12例(30.0%)，兩者差異有統計學意義(P＜0.05)，兩組 ISS 評分及閤併傷情況差異無統計學意義(P＞0.05)，兩組Ⅲ型開放傷程度及住院時間差異有統計學意義(P＜0.05)。結論：控製休剋，維持患者生命體徵平穩在開放性股骨榦骨摺急診擴髓及髓內釘固定治療中尤為重要，此療法未增加患者併髮癥的髮生率及死亡率，對促進患者康複具有重要意義。
목적：대개방성고골간골절급진확수치료적료효진행관찰연구。방법：2008년5월-2013년3월수치개방성고골간골절환자38례，행급진확수수내정고정치료，환자수술시간≤24소시，추취동기40례수술시간＞24소시적개방성고골간골절확수수내정고정환자작대조，대량조림상자료진행회고성분석，관찰량조개방손상정도、합병상정황、주원시간등각항지표。결과：관찰조합병휴극20례(52.6%)，대조조12례(30.0%)，량자차이유통계학의의(P＜0.05)，량조 ISS 평분급합병상정황차이무통계학의의(P＞0.05)，량조Ⅲ형개방상정도급주원시간차이유통계학의의(P＜0.05)。결론：공제휴극，유지환자생명체정평은재개방성고골간골절급진확수급수내정고정치료중우위중요，차요법미증가환자병발증적발생솔급사망솔，대촉진환자강복구유중요의의。
Objective:To explore the curative effect of open fracture of femoral shaft treated with emergency treatment of reamed intramedullary.Methods:38 cases with open fracture of femoral shaft were selected from May 2008 to March 2013.They were treated with emergency reamed intramedullary intramedullary nail fixation,and operation time was less than 24 hours.40 cases with open fracture of femoral shaft were selected,who were treated with emergency reamed intramedullary intramedullary nail fixation,and the operation time was more than 24 hours.We retrospectively analyzed the clinical data of two groups,and observed the open injury degree,the combined injuries,hospitalization time and other indicators of the two groups.Results:In the observation group,20 cases(52.6%) had shock.In the control group,12 cases(30%) had shock.The difference was statistically significant(P<0.05).There was no significant difference in ISS score and combined injuries of the two groups(P>0.05).There were significant differences in type Ⅲ open injury degree and hospitalization time of the two groups(P<0.05).Conclusion:The control of shock and maintaining stable vital signs are very important in open fracture of femoral shaft treated with emergency treatment of reamed intramedullary.It will not increase the incidence rate and mortality of patients,and it has great significance to promote the rehabilitation of the patients.
