中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
33期
73-74
,共2页
四肢%长骨骨折%骨不连%原因%手术治疗
四肢%長骨骨摺%骨不連%原因%手術治療
사지%장골골절%골불련%원인%수술치료
Limbs%Long bone fracture%Nonunion%Reason%Operation treatment
目的：研究分析四肢长骨骨折骨不连的原因和手术治疗效果。方法选取该院2012年4月—2013年5月间收治的50例四肢长骨骨折骨不连患者，对其骨不连的原因进行分析，并进行手术治疗，采取内固定和自体髂骨取骨植骨术治疗，观察手术治疗的效果。结果对所有患者均进行随访，随访时间为4~17个月，所有患者再次手术后伤口均一期愈合，骨折部位均骨性愈合，骨折愈合时间为5~10个月。术后随访复查X线片显示：所有患者在2个月左右骨折端有新的骨痂生成，3~4个月有连续骨痂生成，6~8个月骨折达到临床愈合。另外，所有患者手术治疗的平均时间为（32.58±15.69）min，在术中平均出血量为（22.14±5.67）mL。结论四肢长骨骨折骨不连的原因有多方面，其中伤情严重和医源性因素是造成骨不连的主要因素。通过使用手术去除硬化骨，并打通髓腔，加强固定和植骨手术治疗可以取得较好的效果。
目的：研究分析四肢長骨骨摺骨不連的原因和手術治療效果。方法選取該院2012年4月—2013年5月間收治的50例四肢長骨骨摺骨不連患者，對其骨不連的原因進行分析，併進行手術治療，採取內固定和自體髂骨取骨植骨術治療，觀察手術治療的效果。結果對所有患者均進行隨訪，隨訪時間為4~17箇月，所有患者再次手術後傷口均一期愈閤，骨摺部位均骨性愈閤，骨摺愈閤時間為5~10箇月。術後隨訪複查X線片顯示：所有患者在2箇月左右骨摺耑有新的骨痂生成，3~4箇月有連續骨痂生成，6~8箇月骨摺達到臨床愈閤。另外，所有患者手術治療的平均時間為（32.58±15.69）min，在術中平均齣血量為（22.14±5.67）mL。結論四肢長骨骨摺骨不連的原因有多方麵，其中傷情嚴重和醫源性因素是造成骨不連的主要因素。通過使用手術去除硬化骨，併打通髓腔，加彊固定和植骨手術治療可以取得較好的效果。
목적：연구분석사지장골골절골불련적원인화수술치료효과。방법선취해원2012년4월—2013년5월간수치적50례사지장골골절골불련환자，대기골불련적원인진행분석，병진행수술치료，채취내고정화자체가골취골식골술치료，관찰수술치료적효과。결과대소유환자균진행수방，수방시간위4~17개월，소유환자재차수술후상구균일기유합，골절부위균골성유합，골절유합시간위5~10개월。술후수방복사X선편현시：소유환자재2개월좌우골절단유신적골가생성，3~4개월유련속골가생성，6~8개월골절체도림상유합。령외，소유환자수술치료적평균시간위（32.58±15.69）min，재술중평균출혈량위（22.14±5.67）mL。결론사지장골골절골불련적원인유다방면，기중상정엄중화의원성인소시조성골불련적주요인소。통과사용수술거제경화골，병타통수강，가강고정화식골수술치료가이취득교호적효과。
Objective To study and analyze the causes of nonunion of long bone fracture of extremities and the effect of corre-sponding surgical treatment. Methods 50 patients with nonunion of long bone fracture of extremities admitted in our hospital from April 2012 to May 2013 were selected. The reasons that caused the nonunion were analyzed. The patients were given the surgical treatment, internal fixation and autologous iliac bone grafting. And the therapeutic effect of operation was observed. Results All the patients were followed up for 4-17 months. The wound of all the patients was healed by first intention after the second operation. The fracture sites were bony healing, the healing time was 5-10 months. Postoperative X-ray showed that all of the patients had new callus growing at the fracture end in the period of 2 months or so, continuous bone callus growing in 3-4 months, in 6-8 months the fracture healed clinically. In addition, the average time of operation treatment for all patients was (32.58 ±15.69) min, the mean intraoperative blood loss was (22.14±5.67) ml. Conclusion There are many reasons that can cause the nonunion of long bone fracture of extremities, of which, severe injury and iatrogenic factors are the main reasons. By operation removing the sclerotic bone and getting through the medullary cavity, strengthening fixation and bone grafting operation treatment can achieve good results.
