张孝平

    【摘要】 目的：筛选影响闭合性胫骨骨折术后骨不连的非手术因素，为临床防治提供参考。方法：选取2013年3月-2018年12月就诊于本院胫骨骨折术后骨不连者81例，设为观察组;同期于本院随机选取85例胫骨骨折术后愈合者，设为对照组。收集并分析两组患者的年龄、性别、身体质量指数、骨折分型、软组织分级、烟酒史、基础病(高血压、糖尿病、冠心病)、功能锻炼质量等非手术因素对骨折愈合的影响。结果：单因素分析显示，骨折分型、软组织分级、吸烟史、糖尿病、功能锻炼质量是闭合性胫骨骨折术后骨不连的可疑影响因素(P0.05)。多因素分析显示，骨折分型、软组织分级、吸烟史、糖尿病、功能锻炼质量是闭合性胫骨骨折术后骨不连的独立影响因素(P0.05). Multivariate analysis showed that fracture typing， soft tissue classification， smoking history， diabetes， and functional exercise quality were independent factors of bone nonunion after closed tibial fracture surgery (P<0.05). Conclusion： In the non operative factors of bone nonunion after closed tibial fracture surgery， complex fracture， heavy injury of soft tissue， smoking and diabetes are the risk factors， the high quality of functional exercise is the protective factor and should be paid attention to in clinical practice.

    [Key words] Bone nonunion Tibial fracture Smoking Diabetes mellitus Functional exercise ......