钢板螺钉内固定治疗四肢长管状骨创伤骨折的疗效观察.doc

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1、OW内歸台啊肢长管赚IJiI三IIZ71II三I2018-04-0809:50:18中国现代医生2018年4期张运昌［摘要］目的研究钢板螺钉内固定治疗四肢长管状骨创伤骨折的临床疗效。方法选取420例四肢长管状骨创伤骨折患者作为研究对象，随机分为对照组和观察组，各60例。对照组给了闭合复位交锁髓内固定治疗，观察组则给予钢板螺钉内固定。观察对比两组骨折愈合时间、骨折愈合良好率及术后并发症发生率。结果观察组骨折愈合时间(85.4±3.6)d少于对照组(132.5±3.4)d,骨折愈合优良率96.67%优于对照组8

2、0.00%,术后不良反应发生率(1.67%)低于对照组(15.00%),差异具有统计学意义(P<0.05)o结论在四肢长管状骨创伤骨折治疗中给予钢板螺钉内固定效果显著，可有效改善骨折愈合时间、骨折愈合良好率，并降低术后并发症发生率，促进其康复，值得临床研究。［关键词］钢板螺钉内周定；四肢长管状骨创伤骨折；闭合复位交锁髓内固定：不良反应［中图分类号］R687.3［文献标识码］B［文章编号］1673-9701(2018)04-0079-03［Abstract］ObjectiveTostudytheclinica

3、leffectofplateandscrewinternalfixationinthetreatmentoflongtubularbonetraumaticfracturesofextremities.MethodsAtotalof120patientswithlongtubularbonetraumaticfracturesofextremitieswereselectedasthestudysubjectsandrandomlydividedintocontrolgroupandobservationg

4、roup,with60patientsineachgroup.Thecontrolgroupwasgivenclosedreductionandinterlock!ngintramedullaryscrewforfixation.Theobservationgroupwasgivenplateandscrewinternalfixation・Thefracturehealingtime,thegoodrateoffracturehealingandtheincideneerateofpostoperativ

5、ecomplicationswereobservedandcomparedbetweenthetwogroups.ResultsThefracturehealingtimeintheobservationgroupwas(85.4±3.6)d,lessthanthatof(132.5±3.4)dinthecontrolgroup・Thegoodrateoffractureswas96.67%intheobservationgroup,betterthan80.00%inthecontrolgroup・The

6、incidencerateofpostoperativeadversereactions(1.67%)waslowerthanthatinthecontrolgroup(15.00%).Thedifferencewasstatisticallysignificant(P<0.05).ConclusionPlateandscrewinternalfixationinthetreatmentoflongtubularbonetraumaticfracturesofextremitieshasasignifica

7、nteffect,whichcaneffectivelyimprovethefracturehealingtime,goodfracturehealingrate,andreducetheincidenceofpostoperativecomplicationsandpromotetherehabilitation.Itisworthyofclinicalresearch.［Keywords］Plateandscrewinternalfixation：Longtubularbonetraumaticfrac

8、turesofextremities；Closedreductionandinterlockingintramedullaryscrewforfixation：Adversereactions四肢长管状骨创伤骨折是临床一种严重的骨伤类型，由强大外力引起，且多數伴随休克、其他脏器损伤等情况，如不能及吋处理和治疗干预，将会导致患者骨不愈合或致残，对其正常生活及丁作造成严重影响口，2］。因此，必须引起高度重视，选择合适