| 摘要: |
| ［摘要］ 目的 探讨外固定支架行损伤控制治疗在创伤骨科修复中的作用。方法 选取该院骨科2011-01～2012-12收治的创伤性股骨骨折患者92例随机分为两组，对照组46例行一期切开复位内固定术；观察组46例行一期外固定术，待病情稳定后行二期切开复位手术。比较两组患者手术时间、切口长度、骨折愈合时间、乳酸持续时间和凝血恢复时间等指标。结果 观察组的手术时间、切口长度、骨折愈合时间、乳酸持续时间和凝血恢复时间均明显短于对照组（P<0.01）。结论 外固定支架在骨科修复时进行创伤控制效果良好，值得临床推广应用。 |
| 关键词: 外固定支架 损伤控制 骨科修复 |
| DOI：10.3969/j.issn.1674-3806.2013.11.16 |
| 分类号:R 68 |
| 基金项目: |
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| The application of damage control treatment with external fixators in the traumatic orthopedics repair |
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HUANG Jing-dong, CHEN Wei-qiang, BU Bo，et al.
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Department of Orthopedics， Bobai County People′s Hospital of Yulin, Guangxi 537600，China
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| Abstract: |
| ［Abstract］ Objective To explore the effect of damage control treatment with external fixators in the traumatic orthopedics repair.Methods Ninety-two patients with traumatic femoral fracture treated in our hospital′s department of orthopedics from January 2011 to December 2012 were randomly divided into two groups. Forty-six patients in the control group received the primary open reduction and internal fixation, while the other 46 patients in the observation group received the first phase of external fixation. After the patients′ conditions became stable, the observation group received the sencondary open reduction. Comparison was carried out on the indicators such as the operation time, the incision length, the fracture healing time, the lactic acid duration, the clotting recovery time and so on between the two groups.Results The operation time, the incision length, the fracture healing time, the lactic acid duration and the clotting recovery time of the observation group were remarkably shorter than those of the control group（P<0.01）.Conclusion The effects of damage control treatment with external fixators are good in the traumatic orthopedics repair and therefore this kind of treatment is worth popularization in clinical use. |
| Key words: External fixators Damage control Orthopedics repair |
