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    李红, 钱济先, 钱澍, 陈艳, 朱艳, 郑莎, 仲月霞. 图文并示的可追溯系统在肱骨干骨折内植物取出术中的应用[J]. 徐州医科大学学报, 2021, 41(3): 223-227. DOI: 10.3969/j.issn.2096-3882.2021.03.014
    引用本文: 李红, 钱济先, 钱澍, 陈艳, 朱艳, 郑莎, 仲月霞. 图文并示的可追溯系统在肱骨干骨折内植物取出术中的应用[J]. 徐州医科大学学报, 2021, 41(3): 223-227. DOI: 10.3969/j.issn.2096-3882.2021.03.014
    Application of graphic traceable system on the removal of internalplants in patients with humeral shaft fractures[J]. Journal of Xuzhou Medical University, 2021, 41(3): 223-227. DOI: 10.3969/j.issn.2096-3882.2021.03.014
    Citation: Application of graphic traceable system on the removal of internalplants in patients with humeral shaft fractures[J]. Journal of Xuzhou Medical University, 2021, 41(3): 223-227. DOI: 10.3969/j.issn.2096-3882.2021.03.014

    图文并示的可追溯系统在肱骨干骨折内植物取出术中的应用

    Application of graphic traceable system on the removal of internalplants in patients with humeral shaft fractures

    • 摘要: 目的探讨图文并示的可追溯系统在肱骨干骨折患者内植物取出术中应用的效果。方法采用前瞻性随机对照研究的方式比较图文并示的可追溯系统在肱骨干骨折内固定取出术中的应用价值。78例患者随机分为试验组(可追溯系统组)和对照组(传统病例记录组),各39例患者,比较2组内植物取出术术前术中信息匹配准确率、手术时间、切口大小、出血量、引流量、并发症率、住院时间、术后VAS评分等指标的差异。结果试验组和对照组在年龄、身高、体重等基线资料方面差异无统计学意义(P>0.05)。但在术前信息匹配准确率上优于对照组,手术时间较对照组更短,术中切口大小明显低于对照组,术中出血量较对照组出血量降低,术后VAS评分较对照组更低,差异均具有统计学意义(P<0.05)。住院时间、术后引流量、并发症等2组差异无统计学意义。结论图文并示的可追溯系统相比传统记录方法,具有明显的优势,可提高术前信息调取效率和准确性,降低肱骨干骨折内固定取出术的手术创伤,加速患者康复。

       

      Abstract: ObjectiveTo explore the effects of graphic traceability system on the removal of internal plants in patients with humeral shaft fractures. MethodsThis was a prospective randomized controlled study. A total of 78 patients were randomly divided into two groups (n=39): an experiment group (using a traceable system) and a control group (using traditional record method). Both groups were compared for the accurate rate of intraoperative information matching, operation time, and incision size, blood loss, drainage volume, complication rate, the length of hospitalization stay and postoperative VAS scores.ResultsThere was no significant difference in baseline data such as age, height and body weight between the experimental group and the control group (P>0.05). However, the experimental group showed a better accurate rate of preoperative information matching, shorter operation time, shorter incision size, less intraoperative blood loss and lower postoperative VAS scores than the control group (P<0.05). There was no significant difference in the length of hospitalization stay, postoperative drainage volume and complications. ConclusionsThe graphic traceable system has obvious advantages over traditional recording methods. It can increase the efficiency and accuracy of preoperative information retrieval, reduce the surgical trauma of internal fixation for humeral shaft fracture and accelerate the recovery of patients.

       

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