本科毕业论_文2号单-胫骨-完稿.docVIP

胫骨远端开放性骨折分期治疗方法浅析探讨胫骨远端开放性骨折的治疗手术方式及伤VI处理方法,总结其疗效.方法 收治胫骨远端开放性骨折105例,根据伤情选择5种手术方式:软组织的一期修复加骨折的一期修复;软组织的一期修复加骨折的二期修复;软组织的二期修复加骨折的一期修复.软组织的二期修复加骨折的二期修复;截肢术。根据胫骨不同部位不同程度的损伤指定不同的治疗方法，选择合适的治疗方法可以降低手术风险，有助于术后康复。 关键词：胫骨 开放性骨折 分期治疗 Abstract: Along with our country reform and opening up and socialist modernization construction of deepening, all kinds of industry of China is rapid development, currently the distal tibia increase of the treatment of open fractures in installment. With the fast-growing industry groups in our country, especially in further progress of medical equipment, different methods of treatment is becoming more and more become a key link in the process of different patients and good recovery. To explore the diagnosis and treatment of distal tibia open fractures surgery way and VI processing method, summarizes its curative effect. Methods 105 cases of distal tibia were open fractures, according to choose five operation method: (1) issue of soft tissue repair and fracture repair; (2) soft tissue repair and the second phase of fracture repair. (3) one in the second phase of soft tissue repair and fracture repair. The second stage (4) soft tissue repair and the second phase of fracture repair; (5) amputation. According to different degree of damage to specify different at different positions of the tibia treatment, select the appropriate treatment can reduce the operation risk, help to postoperative recovery. Keywords: shin, Open fractures, Stage treatment 目 录 一、胫骨方面的基本知识 3 1.1 胫骨的概念 3 1.2 胫骨挫伤 4 1.3 治疗及预防 4 二、开放性骨折 5 2.1 开放性骨折的分类 5 2.2 开放性骨折的症状 5 2.3 骨折的处理 6 三、几种胫骨开放性骨折分期治疗方法 6 3.1 组合式外固定器治疗胫骨远端开放性骨折 6 3.2 中西医结合治疗胫骨开放性骨折 7 3.3 解剖钢板内固定治疗胫骨远端骨折 7 四、胫骨骨折治疗方法的选择及经验总结、方案优化 8 4.1 治疗方法的选择 8 4.2 治疗经验总结及治疗方案优化 8 结束语 9 参考文献 9 胫骨方面的基本知识 1.1 胫骨的概念 胫骨小腿双骨之一，位于小腿的内侧，对支持体重起重要作用，为小腿骨中主要承重骨。可分为一体和两端。上端膨大，形成内侧髁和外侧髁，与股骨下端的内、外侧髁以及髌骨共同构成膝关节。两髁之间的骨面隆凸叫做髁间隆起。隆起前后各有一凹陷的粗糙面，分别叫做髁间前窝和髁间后窝。上端的前面有一粗糙的隆起，叫做胫骨粗隆。外侧髁的后下面有一关节面，接腓骨小头