手术治疗严重多发性骨关节创伤临床疗效与并发症分析

Clinical analysis of the efficacy and complications of surgical treatment of severe multiple bone and joint injuries

目的:多发性骨关节严重创伤应用手术治疗效果与并发症情况分析。方法:选取本院诊治77例多发性骨关节严重创伤患者资料,随机分为两组,对照组38例予以保守方案,研究组39例予以手术方案,分析两组治疗成功率、内脏再出血、临床相关时间指标与并发症情况。结果:治疗后,研究组治疗成功39例(100%),高于对照组30例(78.95%),两组比较差异具有统计学意义;且研究组内脏再出现2例(5.13%)比对照组9例(23.68%)少(P<0.05);研究组乳酸清除(12.15±3.20)s、手术时间(62.38±10.26)min、体温恢复(8.08±1.58)h,均比对照组少(P<0.05);研究组伤口感染、CS等并发症2.56%比对照组21.05%少,两组比较差异均具有统计学意义(P<0.05)。结论:多发性骨关节严重创伤应用手术治疗,更能有效提高治疗成功率,降低内脏再出血发生,缩短症状改善时间,并减少并发症发生,具一定临床应用价值。

Objective:To analyze the effect of surgical treatment and complications in the treatment of multiple traumatic bone and joint injuries.Methods:Data of 77 patients with multiple traumatic bone and joint injuries were collected.The patients were randomized into two groups:the therapeutic group and the control group.Patients in thecontrol group were given a conservative treatment,while patients in the therapeutic group were given a surgical therapy.Then the success rate,visceral rebleeding,clinically relevant time indicators and complications of two groupswere analyzed.Results:After treatment,39(100%)patients in the therapeutic group were more successful in surgeries than 30 patients(78.95%)in the control group.There was statistical significance between both groups.The visceral recurrence in the study group was 2 cases(5.13%),which was fewer compared with 9 cases(23.68%)in the control group(P<0.05);it took the respective(12.15±3.20)s,(62.38±10.26)min and(8.08±1.58)h for lactic acid clearance,operation and body temperature recovery,which were less than those of the control group(P<0.05).The wound infection,CS and other complications(2.56%)was less than that of the control group(21.05%),which was of statistically difference(P<0.05).Conclusion:The surgical treatment of multiple trauma of multiple bones and joints can effectively improve the success rate of treatment,reduce the occurrence of visceral rebleeding,shorten the time of symptom improvement,and reduce the occurrence of complications.It has certain clinical application value.