摘要
目的:总结合并中重型颅脑损伤下肢骨折患者内固定术手术治疗的经验和体会。方法:回顾分析1998～2009年我院收治合并中重型颅脑损伤(GCS评分为5～12分)下肢骨折患者136例,其中,保守治疗76例(保守治疗组),积极的手术方案内固定治疗60例(手术治疗组)。结果:采用积极手术内固定组在ICU时间、住院时间、卧床并发症、死亡率、均优于保守治疗组,且该组术后随访6～18个月,平均12.6个月,积极手术治疗组后期的康复在骨折畸形愈合,关节功能优良率方面均优于保守治疗组。结论:积极地行内固定手术治疗不但有利于患者脑外伤的康复,而且有利于患肢的功能恢复。
Objective：To summary the experience on internal fixation surgery in treatment lower limb fracture combination moderate and severe traumatic brain injury.Methods：A retrospective analysis of the merger in our hospital with severe head injury（GCS score of 5 to 12 minutes） 136 cases of patients with lower limb fracture from 1998 to 2009,76 cases of conservative treatment for the conservative treatment group,aggressive surgical treatment of 60 cases of internal fixation options for the internal fixation group.Results：Internal fixation by an active group in the ICU and hospital stay,bed complications,mortality rates were better than the conservative treatment group.And the group was set up for 6 to 18 months,an average of 12.6 months,active treatment group recovered later in the fracture malunion,joint function was superior to conservative high rate of treatment group.Conclusion：Internal fixation surgery actively,which is not only beneficial to patients with traumatic brain injury rehabilitation,but also helps to restore limb function.
出处
《中国医药导报》
CAS
2010年第33期163-164,共2页
China Medical Herald
关键词
下肢骨折
中重型颅脑外伤
内固定术
Lower limb fractures
Severe traumatic brain injury
Internal fixation
