骨科损伤控制在不稳定骨盆骨折合并四肢多发骨折治疗中应用效果观察.docVIP

骨科损伤控制在不稳定骨盆骨折合并四肢多发骨折治疗中应用效果观察 　　摘要：目的 研究骨科损伤控制在不稳定骨盆骨折合并四肢多发骨折治疗中的应用效果。方法 将我院2015年1月～6月不稳定骨盆骨折合并四肢多发骨折患者56例分两组，常规组行常规处理；损伤控制组应用骨科损伤控制。就两组患者手术过程出血情况、手术后住院平均时间、术后骨折愈合时间和不稳定骨盆骨折合并四肢多发骨折X线片结果优良率、尿道损伤、感染、静脉血栓等并发症发生率进行比较。结果 损伤控制组不稳定骨盆骨折合并四肢多发骨折X线片结果优良率明显高于常规组，尿道损伤、感染、静脉血栓等并发症发生率明显低于常规组，P0.05。损伤控制组患者手术过程出血情况、手术后住院平均时间、术后骨折愈合时间均明显优于常规组，P0.05。结论 骨科损伤控制在不稳定骨盆骨折合并四肢多发骨折治疗中的应用效果确切，可有效控制创伤，减少出血，减少术后并发症的出现，有助于加速手术后骨折愈合，缩短术后住院时间，是一种有效的处理方法，值得推广。 　　关键词：骨科损伤控制；不稳定骨盆骨折；四肢多发骨折 　　中图分类号：R687.3 文献标识码：A 文章编号：1006-1959（2017）26-0068-02 　　Abstract：Objective To study the effect of orthopedic injury control in the treatment of unstable pelvic fractures combined with multiple fractures of the extremities.Methods 56 patients with unstable pelvic fractures and multiple extremities fractures in our hospital from January to June 2015 were divided into two groups.The conventional group received routine treatment.Damage control group application of department of orthopedics injury.Two groups patients of bleeding，the average time of hospitalization after operation，fracture healing time and unstable pelvic fracture combined with multiple fractures of limbs radiography showed excellent rate of postoperative urethral injury，infection，venous thrombosis and other complications were compared.Results The injury control group unstable pelvic fracture combined with multiple fractures of limbs radiography showed excellent rate was significantly higher than that of conventional group，urethral injury，infection，venous thrombosis and other complications were significantly lower than the conventional group，P0.05.Damage control group of patients with bleeding，the average time of hospitalization after operation，fracture healing time were significantly better than the conventional group，P0.05.Conclusion The application of orthopedic injury control in treatment of unstable pelvic fractures combined with multiple fractures of extremities is effective，which can effectively control the trauma，reduce the bleeding，red