组合式外固定支架在四肢创伤骨科手术中的应用

Application of Combined External Fixation Bracket in Traumatic Orthopedic Surgery of Extremities

目的讨论组合式外固定支架在四肢创伤骨科手术中的应用效果。方法选取该院在2017年9月-2018年9月这一年时间里收治的四肢创伤骨科手术患者80例,将之随机分队实验组和对照组,每组40例,其中实验组患者采用组合式外固定支架的方式进行治疗,对照组采用交锁髓内钉固定方法进行治疗,对比两种治疗方法的临床效果。结果经过一段时间的治疗之后,实验组患者的治疗有效率(90%)明显高于对照组(70%)患者,两组差异有统计学意义(P<0.05)。研究组患者视觉模拟评分法(VAS)评分为(2.5±0.6)分,低于对照组的(4.3±1.0)分,差异有统计学意义(t=4,P<0.05)。结论组合式外固定支架治疗方法相比于传统的固定方法来说更有利于患者创伤位置的恢复,安全性较高,患者术后不良反应降低,在治疗患者四肢创伤骨科手术中具有十分重要的作用。

Objective To discuss the effect of combined external fixator in orthopaedic surgery for limb trauma. Methods Eighty patients with orthopaedic trauma of extremities admitted to our hospital from September 2017 to September 2018 were selected and randomly divided into experimental group and control group, with 40 cases in each group. The experimental group was treated with combined external fixator, while the control group was treated with interlocking intramedullary nail. The clinical effects of the two methods were compared. Results After a period of treatment, the effective rate of the experimental group(90%) was significantly higher than that of the control group(70%). The difference between the two groups was statistically significant(P<0.05). The visual analogue scale(VAS) score of the experimental group was(2.5±0.6)points, which was lower than that of the control group(4.3±1.0)points. The difference was statistically significant(t=4,P<0.05). Conclusion Compared with the traditional fixation method, the combined external fixator is more conducive to the recovery of traumatic location, with higher safety and lower adverse reactions after operation. It plays a very important role in the treatment of patients with limb trauma orthopaedic surgery.