浅析骨折复位外固定器治疗下肢复杂性骨折的临床观察.docVIP

精品论文 参考文献 浅析骨折复位外固定器治疗下肢复杂性骨折的临床观察 哈尔滨骨伤科医院 150001 【摘 要】目的 研究分析采用骨折复位外固定器对下肢复杂性骨折的治疗效果及不良反应情况。方法 此次研究的对象是选择100例下肢复杂性骨折患者。将其临床资料进行回顾性分析，并随机分为治疗组和对照组，各50例。治疗组采用骨折复位外固定器治疗，对照组采用AO钢板固定治疗。比较并分析两组患者骨折愈合以及不良反应情况。结果 治疗组中38例愈合优秀，8例愈合良好，4例愈合较差，有效率为92.0%；对照组中19例愈合优秀，20例愈合良好，11例愈合较差，有效率为78.0%，两组比较差异具有统计学意义（Plt;0.05）。同时，治疗组中2例患者出现不良反应，而对照组中则有8例患者出现不良反应，两组比较差异具有统计学意义（Plt;0.05）。结论 对于治疗下肢复杂性骨折这类疾病时，采用骨折复位外固定器进行治疗，能够取得较为理想的治疗效果，建议临床外科中广泛应用并加以改进。 【关键词】骨折复位外固定器；下肢复杂性骨折；骨折愈合；不良反应 [Abstract] Objective To study the therapeutic effect and adverse reaction of fracture reduction and external fixator in the treatment of complicated fracture of lower extremity.Methods 100 patients with complex fracture of lower limb were selected.The clinical data were retrospectively analyzed，and were randomly divided into treatment group and control group，each of 50 cases.The treatment group was treated with fracture reduction and external fixation，and the control group was treated with AO plate fixation.The fracture healing and adverse reaction of the two groups were compared and analyzed.Results in the treatment group 38 cases healing excellent，8 cases were healed，4 cases of healing is poorer，the effective rate was 92.0%；control group 19 cases healing excellent，20 cases were healed，11 cases were healed poor，the rate was 78.0%.Two groups of difference has statistical significance（P lt; 0.05）.At the same time，the treatment group of 2 patients with adverse reactions，while in the control group，there were 8 patients with adverse reactions，the difference between the two groups was statistically significant（Plt;0.05）.Conclusion for the treatment of complicated fracture of lower limb fracture，the fracture reduction and external fixation device is used for treatment，which can achieve a more ideal therapeutic effect. Fracture reduction external fixator；complex fracture of lower limb；fracture healing；adverse reaction 在临床中，下肢复杂性骨折是一种难治性的疾病，其治疗的难点就是骨折的固定，对于一些出现较为严重的开放性骨折和软组织损伤、骨缺失的患者来讲，采取何种固定方法以避免患者的关节出