锁定钢板内固定对长骨骨不连患者临床治疗效果分析.docVIP

锁定钢板内固定对长骨骨不连患者临床治疗效果分析 　　[摘要] 目的 研究长骨骨不连患者采用锁定钢板内固定治疗的临床效果。方法 方便选取102例该院2013年9月―2015年9月期间收治的长骨骨不连患者作为研究对象，所有患者按随机数字表法分为两组各51例。其中51例患者采用传统普通钢板固定术治疗作为对照组；另51例患者采用锁钉钢板内固定术治疗作为观察组。观察两组患者手术情况、治疗效果及并发症情况。结果 观察组在愈合时间为（5.26±0.48）个月，明显短于对照组的（6.19±0.52）个月（P0.05）。观察组优良率、并发症发生率分别为90.20%、5.88%，优于对照组的86.27%、15.69%（P0.05）。结论 锁定钢板内固定术治疗长骨骨不连效果较好，缩短骨不连愈合时间，减少并发症的发生，值得临床应用及推广。 　　[关键词] 锁定钢板内固定；长骨；骨不连 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）04（c）-0049-03 　　[Abstract] Objective To research the clinical effect of internal fixation with locking plate in treatment of patients with long bone nonunion. Methods 102 cases of patients with long bone nonunion admitted and treated in our hospital from September 2013 to September 2015 were conveniently selected and randomly divided into two groups with 51 cases in each， the control group adopted the traditional common plate fixation treatment， and the observation group adopted the internal fixation with locking plate， and the operation situation， treatment effect and complications of the two groups were observed. Results The healing time in the observation group was obviously shorter than that in the control group[（5.26±0.48）months vs（6.19±0.52）months]（P0.05）， and the excellent and good rate and incidence rate of complications in the observation group and in the control group were respectively 90.20%、5.88% and 86.27%、15.69%（P0.05）. Conclusion The effect of internal fixation with locking plate in treatment of patients with long bone nonunion is better， which can short the healing time of bone ununion and reduce the occurrence of complications， and it is worth clinical application and promotion. 　　[Key words] Internal fixation with locking plate； Long bone； Bone ununion 　　骨折是?R床常骨外科常见疾病类型，其中股骨、桡骨、尺骨等四肢长骨发生骨折后，容易出现骨不连。出现骨不连的患者往往病因复杂，多伴有骨折急性、严重缺损等，给患者带来极大痛苦[1]。而由于骨不连患者在骨折近段部位已经长处新的骨痂，因此治疗较为棘手[2]。目前研究指出[3]，恢复良好的血供，牢固内固定是治疗骨不连的主要手段。锁定钢板内固定是一种良好的内固定方式，通过螺钉、钢板的结合，从而加强固定效果。该文对该院2013年9月―2015年9月期间收治的102例长骨骨不连患者进行研究，探讨锁定钢板对骨不连的疗效，现报道如下。 　　1 资料与方