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作 者:齐兵[1] 刘桂凌[1] 娄磊[1] QI Bing LlU Gui-ling LOU Lei(Henan Luoyang Bonesetting Hospital the Orthopaedic Hospital in Henan Province,Luoyang,Henan Province, 471002 China)
机构地区:[1]河南省洛阳正骨医院河南省骨科医院,河南洛阳471002
出 处:《系统医学》2017年第2期66-69,共4页Systems Medicine
摘 要:目的观察分析外固定架治疗骨创伤的临床特点及治疗效果。方法选择于该院2015年2月—2016年2月进行治疗的80例骨创伤患者作为研究对象,根据不同的治疗方式将其分成2组,研究组和对照组各40例,对照组患者给予常规内固定治疗,研究组患者给予外固定架治疗,对两组患者的优良率、手术指标、并发症发生率等进行比较。结果经过治疗后,研究组患者优良率为87.5%,对照组患者优良率为57.5%,研究组患者优良率明显高于对照组,差异有统计学意义(P<0.05);研究组患者手术时间、术中出血量、切口长度、住院时间、骨折愈合时间明显优于对照组,差异有统计学意义(P<0.05);治疗后,研究组患者Mayo评分与关节屈伸度数为(96.4±5.6)分和(94.2±2.3)°,明显优于对照组(82.3±8.8)分和(81.0±2.6)°,差异有统计学意义(P<0.05);研究组患者并发症发生率为7.5%,对照组患者不良反应发生率为30.0%,研究组患者并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论对骨创伤患者采取外固定架治疗具有显著的疗效,其操作简便、固定效果好、并发症少、损伤小、骨折愈合快等多种优点,值得在临床上进行推广及应用。Objective To observe and analyze the clinical features and treatment effect of external fixator in treatment of bone trauma. Methods 80 cases of patients with bone trauma and who accepted treatments in our hospital from February 2015 to February 2016 were taken as the research objects,and according to the different treatment methods were divided into two groups,which the study group and control group with 4-0 cases in each group.In the control group of patients were given routine internal fixation,while in the the study group of patients were treated with external fixator. Then,the excellent rate, operation index and complication rate of the two groups were compared. Results After treat- ment, the excellent rate in the study group was 87.5%,and in the control group was 57.5% , the excellent and good rate in the study group was significantly higher than the control group, the results were statistically significant(P〈0.05);The operation time, blood loss during operation, incision length, hospitalization time, fracture healing time in the studygroup were significantly better than those in the con- trol group, and the results were statistically significant (P〈0.05); After treatment, the Mayo score and jointflexion degree of patients in the study group were(96.4±5.6) points and (94.2± 2.3)°, which was significantly better than the control group of (82.3± 8.8) points and (81± 2.6)°, the difference was statistically significant (P〈0.05);The incidence rate of complications in the study group was 7.5% and in the control group was 30.0%,the incidence of complications was significantly lower in the study group than in the control group, the results were Statistically significant(P〈0.05). Conclusion The clinical effects of external fixator in treatment of patients with bone trauma are significant,which its op- eration is simple, the fixed effect is good, the complication is less, the damage is small, the fracture healing is quick and so on many kinds of merits,thus it is worthy t
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