开放植骨治疗感染性骨折不愈合疗效观察

发布时间：2018-01-03 13:07

本文关键词：开放植骨治疗感染性骨折不愈合疗效观察　出处：《临床医药文献电子杂志》2016年40期 　论文类型：期刊论文

【摘要】：目的探讨开放植骨治疗感染性骨折不愈合疗效。方法选取2012年1月~2015年12月我院收治的感染性骨折不愈合患者40例作为研究对象,随机将其分为研究组和对照组,各20例。所有患者均经临床确诊为感染性骨折不愈合疾病,其中研究组给予一期开放植骨书治疗;对照组给予延期开放植骨术治疗。记录两组术后肉芽组织覆盖时间、瘢痕愈合时间、骨折愈合时间、去除外固定支架时间、患者对本次治疗满意度,给予统计学分析后得出结论。结果两组经相应治疗后研究组肉芽组织覆盖、瘢痕愈合、骨折愈合、去除外固定支架等项目所需时间均较对照组显著减少,提示研究组疗效优于对照组;研究组患者满意度优于对照组,差异有统计学意义(P0.05);两组感染性骨折不愈合患者经上述相应方法完成治疗后,研究组术后不良反应发生率(25.00%)与对照组(30.00%)对比,差异无统计学意义(P0.05)。结论对感染性骨折不愈合患者给予一期开放植骨术治疗有利于其尽快恢复健康,维持良好的医患关系,保障患者疗效及预后。
[Abstract]:Objective to investigate the efficacy of open bone grafting in the treatment of infectious fracture nonunion. Methods from January 2012 to December 2015, 40 patients with infectious fracture nonunion were selected as study objects. They were randomly divided into study group and control group with 20 cases each. All the patients were clinically diagnosed as infectious fracture nonunion disease, and the study group was given one-stage open bone graft therapy. The control group was treated with delayed open bone grafting. The time of granulation tissue coverage, scar healing, fracture healing and removal of external fixation stent were recorded in both groups. Results the granulation tissue coverage, scar healing, fracture healing, removal of external fixator and other items in the study group were significantly reduced compared with the control group. The study group is superior to the control group. The patients' satisfaction in the study group was better than that in the control group, and the difference was statistically significant (P 0.05). The incidence of postoperative adverse reactions in the study group (25.00) was compared with that in the control group (30.00). There was no significant difference between the two groups (P 0.05). Conclusion the treatment of one-stage open bone graft for patients with nonunion of infectious fractures is beneficial to the recovery of their health and the maintenance of good doctor-patient relationship as soon as possible. To ensure the curative effect and prognosis of the patients.
【作者单位】：宿迁市珠江医院骨科;
【分类号】：R687.3
【正文快照】： 骨折是临床骨科常见病及多发病,部分患者经首次治疗后可能发生感染性骨折不愈合并影响其疗效及预后。研究表明,感染性骨折不愈合患者若未获得及时救治将发生致残甚至死亡等严重后果,因此若想保障此类患者及时诊断并给予正确治疗是保障感染性骨折不愈合患者生活质量及生命安全

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