外固定支架进行损伤控制性治疗在创伤骨科修复中的应用效果分析

Effect analysis of external fixator damage control therapy in the application of traumatic fracture repair

目的 探讨外固定支架进行损伤控制性治疗在创伤骨科修复中的应用疗效。方法 选取2012年5月~2014年2月来我院就诊的创伤骨折患者75例,所有患者随机分为观察组38例与对照组37例。观察组采取外固定架损伤控制性手术进行治疗,对照组采用切开复位内固定方法治疗。对两组患者手术情况,术后恢复情况及手术后并发症进行观察及比较。结果 观察组患者的手术时间、切口长度及术中出血量明显低于对照组患者（P〈0.05）。观察组患者的乳酸持续时间、体温恢复时间、骨折愈合时间及凝血功能恢复时间皆短于对照组患者,两组患者比较,差异均有统计学意义（P〈0.05）。观察组患者并发症总发生率为13.15%,对照组患者并发症总发生率为35.14%,两组比较差异均有统计学意义（P〈0.05）。结论 外固定支架在骨科修复时进行创伤控制效果良好,提高临床疗效,并发症发生率低,值得临床推广应用。

Objective To explore the effect of external fixator damage control therapy in the application of traumatic fracture repair. Methods 75 patients of traumatic fractures from 2012 May to 2014 February in our hospital were all collected, and were randomly divided into observation group of 38 cases and control group of 37 cases. The observation group was treated with external fixator damage control surgery, and the control group was treated with open reduction and internal fixation. The operation, postoperative recovery and complications of patients in the two groups were observed and completed. Results The operation time, incision length and intraoperative amount of bleeding of patients in the observation group were lower than those in the control group（P 〈0.05）.The lactic acid duration, body temperature recovery time, wound healing time and coagulation function recovery time of patients in the observation group were shorter than that those in the control group, the difference was statistically significant between the two groups（P 〈 0.05）. The overall complication rate of the observation group was 13.15%, 35.14% in the control group, the difference was statistically significant between the two groups（P 〈 0.05）. Conclusion External fixation damage control therapy during the traumatic fracture repair has good control effect, can improve the clinical effect, lower the incidence of complications, and it is worthy of clinical application.