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一期髓内针内固定治疗多发伤的肢体骨折
引用本文:林斌,郭志民,郭延杰,郭林新,丁真奇,陈建庭. 一期髓内针内固定治疗多发伤的肢体骨折[J]. 中国矫形外科杂志, 2000, 7(1): 40-47
作者姓名:林斌  郭志民  郭延杰  郭林新  丁真奇  陈建庭
作者单位:1. 解放军第175医院骨科,福建漳州,363000
2. 第一军医大学南方医院,广州,510515
摘    要:目的:探讨急诊一期髓内针内固定治疗多发伤的肢体骨折的优越性。方法:采用u 检验和x2 检验方法分析比较一期髓内针内固定组82 例和二期手术组的住院时间、骨折愈合时间、死亡率、并发症发生率、感染率、骨折不愈合率、住院费用等。结果:一期髓内针内固定组住院时间为(26 .00 ±7 .80)d ,骨折愈合时间为(137 .00 ±30 .8)d ,并发症发生率2 .44 % ,住院费用(7 018 .45 ±810 .25) 元。对照组分别为:(38 .40 ±10 .5)d ,(146 ±36 .4)d ,11 .5 % ,(10 259 ±1013 .47) 元。2 组比较有显著性差异。结论:一期髓内针固定治疗多发伤的肢体骨折可缩短住院时间和骨折愈合时间,减少并发症和治疗费用。

关 键 词:多发伤 一期手术 髓内固定 肢体骨折 治疗

The Primary Operative Treatment of Long Bone Shaft Fractures of Multiple Trauma by Intramedullary Nailing
LIN Bin,GUO Zhi min,GUO Yan jie,et al.. The Primary Operative Treatment of Long Bone Shaft Fractures of Multiple Trauma by Intramedullary Nailing[J]. Orthopedic Journal of China, 2000, 7(1): 40-47
Authors:LIN Bin  GUO Zhi min  GUO Yan jie  et al.
Affiliation:LIN Bin,GUO Zhi min,GUO Yan jie,et al.Department of Orthopaedies Surgery,the 175th Hospital of PLA,Zhang zhou 363000.
Abstract:Objective: To understand the significance of primary intramedullary nailing fixation of long bone shaft fractures of multiple trauma patients.Metods:The hospitalization time,cost,the rate of complication and time of union were analysed and compared between the primary operative group and the contrast group.Results:The hospitalization time,cost,the rate of complication and the time of union were less than those of contrast one.Conclusion:Significant advantages have been demomstrated in the multiple trauma patients with long bone fractures treated by primary intramedullary nailing.
Keywords:Multiple trauma Primary operation Intramedullary fixation.
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