骨折复位外固定器治疗下肢复杂性骨折患者的疗效及对骨折愈合、不良反应的影响

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摘要   【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 2017年 7月~ 2019年 8月 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( P<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( P<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 and analyze the treatment effect and adverse reactions of complex fracture of lower extremity with fracture reduction and external fixator. Methods 100 patients with complex fracture of lower extremity from July 2017 to August 2019 were selected in this study, and their clinical data were analyzed retrospectively. They were randomly divided into treatment group and control group, 50 cases in each group. The treatment group was treated with external fixator and the control group with AO plate. The fracture healing and adverse reactions of the two groups were compared and analyzed. Results in the treatment group, 38 cases healed well, 8 cases healed well, 4 cases healed poorly, the effective rate was 92.0%; in the control group, 19 cases healed well, 20 cases healed well, 11 cases healed poorly, the effective rate was 78.0%, the difference between the two groups was statistically significant (P < 0.05). At the same time, 2 patients in the treatment group had adverse reactions, while 8 patients in the control group had adverse reactions. The difference between the two groups was statistically significant (P < 0.05). Conclusion in the treatment of complex fracture of the lower extremity, the treatment of fracture reduction and external fixator can achieve a better therapeutic effect. It is suggested that it should be widely used and improved in clinical surgery.
出处 《世界复合医学》 2020年4期
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出版日期 2020年06月12日(中国期刊网平台首次上网日期,不代表论文的发表时间)