不同植入物内固定治疗四肢创伤骨折后骨不连的临床对比研究  

Comparative Study of Bone Union after Different Implant Fixation in treating Limb Trauma Fracture

作　　者：熊健[1] 佘远举[1] 许永涛[1] 吴起宁[2] 何立民[2] 

机构地区：[1]荆州中心医院骨科,湖北荆州434020 [2]西安交通大学附属红会医院脊柱外科,陕西西安710054

出　　处：《现代生物医学进展》2014年第20期3873-3876,共4页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(81100930)

摘　　要：目的：探讨不同植入物内固定治疗四肢创伤骨折后骨不连的临床疗效。方法：选择我科2010年2月-2013年2月四肢创伤骨折后骨不连患者38例，按照随机数表法将38例患者随机分为两组，分别为LC-DCP组以及LCP组，每组各19例，观察两组患者的平均手术持续时间、骨折临床愈合时间、X线骨痂评分以及并发症。结果：LC—DCP组平均手术持续时间为（134．73±12．91）min，LCP组为（129．54±14．87）min，两组比较不存在统计学差异（P〉0．05）。LC—DCP组患者平均骨折临床愈合时间为（3．94±0．83）月．LCP组为（3．81~O．69）月，两组间不存在统计学显著性差异（P〉0．05）。LC—DCP组患者X线骨痂评价标准平均评分值为（2．73±0．51）分，LCP组为（2．86±0．49）分，两组间差异不存在统计学意义（P〉0．05）。结论：两种钢板联合植骨治疗四肢创伤骨折后骨不连均能够取得良好的治疗效果，均可以作为治疗四肢创伤骨折后骨不连患者的有效方法。Objective： To investigate the clinical contrast of bone union after different implant fixation in treating limb fractures. Metlaods＂ 38 cases with bone union after limb trauma fractures from February 2010 to February 2013 were selected and randomly divided into LC-DCP group and LCP group with 19 cases respectively according to a random number table method. 19 cases in both groups were observed with average duration of surgery, fracture healing time, X-ray score of bone callus and complications. Results：The average duration of surgery was＇（134.73 ± 12.91） min in LC-DCP group and （129.54 ± 14.87） min in LCP group, the difference had no statistical significance（P〉 0.05）. The fracture healing time was （3.94± 0.83） months in LC-DCP group and （3.81 ± 0.69） months in LCP group, the difference had no statistical significance（P〉 0.05）.The standard average X-ray score of bone callus was （2.73 ＋ 0.51） points in LC-DCP group and （2.86 ＋ 0.49） points in LCP group, the difference had no statistical significance （P〉 0.05）. Conclusion： Both steel plates combined with bone grafting on treating limb trauma fracture nonunion were able to achieve satisfying therapeutic effect and can be applied as effective treatments for patient with bone union after limb trauma fracture.

关 键 词：植入物内固定 四肢创伤骨折 骨不连 LC-DCP LCP 

分 类 号：R68[医药卫生—骨科学] R318.08[医药卫生—外科学]