【摘要】 目的回顾性分析滑丝螺钉取出困难的相关因素并将处理方法予以比较,为临床提供治疗依据。方法统计我科2012年9月~2015年9月内固定取出病例(276例),分为两组:非螺钉滑丝组(248例)和螺钉滑丝组(28例)。螺钉滑丝组根据取出方法分为打磨法(15例)和长臂大力剪剪断法(13例)。运用统计学方法分析患者手术出血量、手术部位、年龄等因素。结果螺钉滑丝组患者年龄[(27.82±4.74)岁]小于非螺钉滑丝组[(38.53±10.38)岁],下肢螺钉滑丝较上肢多,差异具有统计学意义(P<0.05),而两组在内固定植入时间和产地比较差异无统计学意义(P>0.05)。取滑丝螺钉单位时间比较,长臂大力剪剪断法[(4.31±0.86)min]较打磨法[(10.33±1.40)min]时间更短,差异具有统计学意义(P<0.05),而两种方法出血量比较,差异无统计学意义(P>0.05)。结论滑丝螺钉取出困难是多因素共同作用的,医生和患者两种因素最为重要。长臂大力剪剪断法取滑丝螺钉优势明显,方法简单有效。更多还原

【Abstract】 Objective To retrospectively analyze the relative factors of slide wire screw pulling-out difficulties and compare the treatment in order to provide evidence for clinical treatment. Methods A total of 276 cases with internal fixation pulling-out were selected in our department from September 2012 to September 2015 and divided into two groups: non slide wire screw group(248 cases) and slide wire screw group(28 cases). In the slide wire screw group, patients were subdivided into two groups based on the pulling-out method: abrading method(15 cases) and clipping by long-arm strong scissors method(13 cases). The relative factors like bleeding amount during the operation, surgical part and age were statistical analyzed. Results Patients in slide wire screw group with(27.82±4.74) years old were younger than those in non-slide wire screw group[(38.53±10.38) years old], lower limbs had more slide wire screws than upper limbs and the difference had statistical significance( P<0.05). The internal fixation time and production place in the two groups showed no significant differences( P>0.05). Screw unit time of clipping by long-arm strong scissors method was(4.31±0.86) min, which was shorter than that(10.33±1.40) min of abrading method, with statistically significant diffirence(P<0.05), blood loss of two methods had no obvious difference(P>0.05). Conclusion The pulling-out difficulty of slide wire screw is coacted by multiple factors and the doctors and patients factors are predominately. Pulling-out by long-arm strong scissors has obvious advantage, which is simple and effective.更多还原