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分析

Application of damage control in the treatment of unstable pelvic fracture complicated with multiple fractures of limbs

目的探讨骨科损伤控制在治疗不稳定骨盆骨折合并四肢多发骨折的作用。方法选取2013年12月至2015年12月于我科接受治疗的不稳定骨盆骨折合并四肢多发骨折的患者为研究对象,共62例,将患者按随机数字法分至观察组和对照组,各31例,对照组患者予以不稳定骨盆骨折合并四肢多发骨折常规治疗方案,观察组患者予以骨折损伤控制治疗,比较两组患者治疗的临床疗效及并发症发生情况。结果观察组患者复位优良率为90.32%,对照组为67.74%,观察组患者复位优良率明显高于对照组,组间存在显著性差异(P<0.05)。观察组患者并发症发生率为6.45%,远低于对照组患者的25.81%,组间存在显著性差异(P<0.05)。结论骨科损伤控制理念用于治疗不稳定骨盆骨折合并四肢多发骨折的患者时,可明显提高复位优良率,减少并发症的发生。

Objective To study the clinical effects of fracture damage control in treatment of unstable pelvic fracture complicated with multiple fractures of limbs. Methods A total of 62 patients with unstable pelvic fracture complicated with multiple fractures of limbs were selected from our hospital. The patients were randomly divided to observation group and control group,with 31 cases in each. The conventional therapy of unstable pelvic fracture complicated with multiple fractures of limbs was performed on the control group,while the patients in the observation group accepted damage control therapy. The clinical efficacy and complications of the two groups were compared. Results The excellent and good rate of reset of patients in observation was 90. 32%,which was higher than 67. 74% in the control group,there was significant difference between groups（ P〈0. 05）. The incidence of complications of patients in the observation group was 6. 45%,much lower than 25. 81% of the control group,there was a significant difference between groups（ P〈0. 05）. Conclusions The application of fracture damage control philosophy for the treatment of unstable pelvic fracture complicated with multiple fractures of limbs,can significantly improve the excellent rate of reduction,and reduce the occurrence of complication.