中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (26): 4874-4877.doi: 10.3969/j.issn.1673-8225.2010.26.031

• 骨与关节学术探讨 academic discussion of the bone and joint • 上一篇    下一篇

外固定支架-行损伤控制性治疗在创伤骨科修复中的应用

鲁海江，镇万新   

  1. 暨南大学第二临床医学院，深圳市人民医院脊柱外科，广东省深圳市 518020
  • 出版日期:2010-06-25 发布日期:2010-06-25
  • 通讯作者: 镇万新，博士，教授，主任医师，暨南大学第二临床医学院，深圳市人民医院脊柱外科，广东省深圳市 518020 wx100100@ yahoo.com.cn
  • 作者简介:鲁海江，男，1978年生，山东省诸城市人，汉族，暨南大学第二临床医学院在读硕士，主要从事脊柱外科与骨组织工程方面的研究。 luhaijiang78@ 126.com

Application of external fixator to damage control treatment in rehabilitation of orthopedic trauma 

Lu Hai-jiang, Zhen Wan-xin   

  1. Department of Spinal Surgery, Shenzhen People's Hospital, Second Clinical Medical College of Jinan University, Shenzhen  518020, Guangdong Province, China
  • Online:2010-06-25 Published:2010-06-25
  • Contact: Zhen Wan-xin, Doctor, Professor, Chief physician, Department of Spinal Surgery, Shenzhen People's Hospital, Second Clinical Medical College of Jinan University, Shenzhen 518020, Guangdong Province, China wx100100@yahoo. com.cn
  • About author:Lu Hai-jiang, Studying for master's degree, Department of Spinal Surgery, Shenzhen People's Hospital, Second Clinical Medical College of Jinan University, Shenzhen 518020, Guangdong Province, China luhaijiang78@ 126.com

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摘要：

背景：严重多发性骨折或粉碎骨折合并多发创伤的危重患者难以承受复杂大手术，对此类患者利用外固定支架行损伤控制性手术治疗修复骨科创伤已在临床上逐步开展。
目的：通过查阅大量相关文献并进行分析总结，概述利用外固定支架行损伤控制性手术治疗用于创伤骨科修复的必要性、适用范围、实施步骤、优点及应用效果，并对其应用前景做出展望。
方法： 以damage control，external fixator，fracture，trauma，rehabilitation为检索词，检索PubMed数据库(1990/2009-12)；以损伤控制，外固定支架，骨折，创伤，修复为检索词，检索CNKI数据库(1995/2009-12)。文献检索语种限制为英文和中文。纳入应用外固定支架行损伤控制性手术治疗修复骨折创伤的内容，文献类型包括综述和临床研究；排除动物实验、重复研究及内容与研究目的不相符的文献。
结果与结论：计算机初检得到289篇文献，对资料进行分析，根据上述筛选标准，排除动物实验、重复研究及内容与研究目的不符的文献共130篇，剩余159篇文献以近10年发表的为主抽取，最终保留25篇文献做进一步分析。通过对文献的复习可知，针对严重多发性骨折或粉碎骨折合并多发创伤的危重患者的骨折修复，合理应用外固定支架行损伤控制性手术治疗，可明显提高其生存率，经临床验证是一种安全有效的治疗方法。

关键词: 损伤控制, 外固定支架, 骨折, 创伤, 修复

Abstract:

BACKGROUND: Serious patients with severe multiple fractures or comminuted fractures with multiple trauma cannot bear complex and extensive operation. For these patients, application of external fixator to damage control surgery treatment in rehabilitation of orthopedic trauma has been gradually performed in clinical practice.

OBJECTIVE: To summarize necessities, indications, procedures, merits and effects of using external fixator to damage control surgery treatment in rehabilitation of orthopedic trauma by reviewing and analyzing lots of literatures.

METHODS: A computer-based online research of PubMed (1990/2009-12) and CNKI (1995/2009-12) was performed with key words of “damage control, external fixator, fracture, trauma, rehabilitation”. The literature was limited to English and Chinese languages. Literatures concerning application of external fixator to damage control surgery treatment in rehabilitation of orthopedic trauma were included, including reviews and clinical experiments. Animal experiments, duplicated study and contents inconsistent with the research purpose were excluded.

RESULTS AND CONCLUSION: A total of 289 articles were initially searched by computer, according to inclusive and exclusive criteria, 130 unrelated articles were excluded, and those published in the last 10 years were selected from the remainder 159 articles. Finally 25 literatures were included. Based on literature review, the reasonable application of external fixator to damage control surgery treatment in rehabilitation of orthopedic trauma improves the survival rate of serious patients with severe multiple fractures or comminuted fractures with multiple trauma, and proves to be clinically effective and secure.

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