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于福铎.Ilizarov技术在治疗下肢创伤后感染性骨缺损的研究[J].中国医药科学,2019,(16):212-214        基金项目:
Ilizarov技术在治疗下肢创伤后感染性骨缺损的研究
Effect of Ilizarov technique in the treatment of infective bone defect after lower limb trauma
  
DOI:
中文关键词:  Ilizarov 技术;下肢创伤;感染性骨缺损
英文关键词:Ilizarov technique;Lower limb trauma;Infectious bone defect
作者单位
于福铎 黑龙江省密山市人民医院,黑龙江密山 158300 
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中文摘要:
      [摘要] 目的 探讨 Ilizarov 技术在治疗下肢创伤后感染性骨缺损的研究效果。方法 选取 2016 年 10 月~ 2018年 2 月在我院就诊的下肢创伤后感染性骨缺损患者 35 例为研究对象,,采用 Ilizarov 技术对患者进行治疗。术后随访 24 个月,观察临床治疗资料、优良率、及治疗前后的膝关节 HHS 评分、踝关节 Baird-Jackson 评分。 结果 患者均顺利完成手术,手术成功率 100.00%,均未并发症发生。。其住院的时间为 9 ~ 26d,平均(16.38±5.11)d。患者术毕至负重时间 6 ~ 13 个月,平均(10.37±3.30)个月。Ilizarov 外固定支架进行固定时间 5 ~ 13 个月,平均(7.36±2.64)d。优 33 例,良 2 例,治疗的优良率为 100.00%。治疗后,患者 HHS及 Baird-Jackson 评分明显高于治疗前,差异有统计学意义(P < 0.05)。结论 Ilizarov 技术下肢创伤后感染性骨缺损在控制感染和改善患肢功能方面有一定优越性。
英文摘要:
      [Abstract] Objective To explore the effect of Ilizarov technique in the treatment of infective bone defect after lower limb trauma. Methods From October 2016 to February 2018,35 patients who treated in our hospital with posttraumatic infectious bone defect of lower extremity were selected as the study subjects.The patients were treated with Ilizarov technique.The follow-up period was 24 months.The clinical data,excellent and good rate,HHS score of knee joint and Baird-Jackson score of ankle joint before and after treatment were observed. Results All patients successfully completed the operation,the success rate of the operation was 100.00%,and no complications occurred. The hospitalization time was 9-26 days,with an average of (16.38±5.11) days.The time from the end of operation to the weight-bearing was 6-13 months, with an average of (10.37±3.30) months.The time of fixing Ilizarov external fixator was 5-13 months,with an average of (7.36±2.64) days.In all patients,the treatment effect was excellent in 33 cases and good in 2 cases,the excellent and good rate of treatment was 100.00%.After treatment,the HHS score of knee joint and Baird-Jackson score of ankle joint were significantly higher than those before treatment(P < 0.05). Conclusion Ilizarov technique has some advantages in controlling infection and improving limb function.
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