四肢长骨干骨折术后骨不连原因分析及预防对策

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1、肢长骨干骨折术后骨不连原因分析及预防对策【摘要】目的探讨四肢长骨干骨折术后骨不连的原因，并总结预防措施。方法回顾性分析65例四肢长骨干骨折术后骨不连患者的病历资料，统计导致骨不连发生的原因。结果65例患者骨不连原因分析，个体因素者31例，占47.69%;有操作因素者30例，占46.15%;依从性差者20例，占30.77%。结论四肢长骨干骨折术后骨不连与多种因素有关，个体因素和操作因素是术后骨不连发生的主要原因，行骨折内固定术时，术者要注重个体差异，遵循内固定原则进行操作，提高患者依从性，减少骨不连发生。【关键词】四肢长骨干骨折；骨

2、不连；原因D0I：10.14163/j.cnki.11-5547/r.2015.14.024CausesanalysisandpreventionmeasuresfornonunionafterlimbslongboneshaftfractureoperationTANYao-ling,XUQiu-xiang，HUANGTao.HuizhouCitytheThirdPeople'sHospital，Huizhou516002,China[Abstract]ObjectiveToinvestigatethecausesofnonun

3、ionafterlimbslongboneshaftfractureoperation,andtosummarizepreventionmeasures.MethodsClinicaldataof65patientswithnonunionafter肢长骨干骨折术后骨不连原因分析及预防对策【摘要】目的探讨四肢长骨干骨折术后骨不连的原因，并总结预防措施。方法回顾性分析65例四肢长骨干骨折术后骨不连患者的病历资料，统计导致骨不连发生的原因。结果65例患者骨不连原因分析，个体因素者31例，占47.69%;有操作因素者30例，占46.15

4、%;依从性差者20例，占30.77%。结论四肢长骨干骨折术后骨不连与多种因素有关，个体因素和操作因素是术后骨不连发生的主要原因，行骨折内固定术时，术者要注重个体差异，遵循内固定原则进行操作，提高患者依从性，减少骨不连发生。【关键词】四肢长骨干骨折；骨不连；原因D0I：10.14163/j.cnki.11-5547/r.2015.14.024CausesanalysisandpreventionmeasuresfornonunionafterlimbslongboneshaftfractureoperationTANYao-ling

5、,XUQiu-xiang，HUANGTao.HuizhouCitytheThirdPeople'sHospital，Huizhou516002,China[Abstract]ObjectiveToinvestigatethecausesofnonunionafterlimbslongboneshaftfractureoperation,andtosummarizepreventionmeasures.MethodsClinicaldataof65patientswithnonunionafterlimbslongboneshaft

6、fractureoperationwereretrospectivelyanalyzed，andtheircausesfornonunionweresummarized.ResultsAnalysisofnonunionin65patientsshowedthattherewere31casesduetoindividualfactors,accountingfor47.69%，30casesduetooperationfactors,accountingfor46.15%，and20casesduetopoorcomplianc

7、e,accountingfor30.77%.ConclusionNonunionafterlimbslongboneshaftfractureoperationisrelatedwithseveralcauses,mainlywithindividualfactorsandoperationfactors.Implementofinternalfixationshouldfollowoperationalprincipleswhileconsideringindividualdifferences,inordertoimprove

8、patients’complianceandreduceincidenceofnonunion.[Keywords]Limbslongboneshaftfracture；Nonunion；Causes术后骨不连是四肢长骨干骨折手术治疗较为常见的并发