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目的总结探讨肱骨干开放性骨折在基层医院I期治疗方法及临床疗效。方法回顾性分析2007年6月~2012年6月，对本组收治的32例开放性肱骨干骨折患者，在I期彻底清创的基础上，同时行带锁髓内钉内固定及外固定支架外固定治疗。其中6例行外固定支架加经皮克氏针联合固定术；3例行髂骨取骨植骨术；3例行I期带蒂皮瓣转移；4例伤口延期缝合(2例I期直接缝合、2例I 期行游离植皮)。术后均行伤肢肩外展架制动，同时积极预防并发症。结果32例患者术后获15~28个月，平均21.5个月随访时间。所有患者骨折均获愈合，骨折愈合时间3~8个月，平均5.5个月。主要并发症：针道感染3例(25针)，骨髓炎1例，骨折延迟愈合3例。末次随访时按照Johner-Wruhs评分标准评定肩、肘关节功能恢复情况：优21例，良9例，差2例，优良率为93.8豫；按照Merchant评分标准评定患者骨折处愈合情况：优19例，良9例，可3例，差1例，优良率为87.5豫。结论采用带锁髓内钉及外固定支架I期治疗开放性肱骨干骨折，可以取得比较满意的临床疗效，同时应重视开放性骨折并发症的预防与治疗。“,”Objective To summarize open fractures in basic-level hospitals to shaft of humerus stage I treatment method and clinical curative ef ect. Methods A retrospective analysis of a June 20, 2007, June, in l2 for this group of patients of humeral fractures in 32 cases of open, in stage I, on the basis of a thorough debridement, at the same time line with interlocking intramedul ary nail internal fixation and external fixation bracket external fixation treatment. Six of them underwent external fixator and the needle plus the pique joint fixation;3 take iliac crest bone graft after operation;3 regular stage I pedicle flap transfer;4 cases of delay wound suture (2 cases of stage I direct suture line, 2 cases of stage II of free skin graft). Postoperative wounds in limbs shoulder outreach brake, at the same time actively prevent complications. Results 32 cases of patients with postoperative won 15 to 28 months, an average of 21.5 months fol ow-up time. Al patients with fracture healing, fracture healing time 3 to 8 months, an average of 5.5 months. Main complications:needle infection 3 cases (25) needle, osteomyelitis in 1 case, delayed union of fracture (3 cases). According to the Johner- at the time of the last fol ow-up Wruhs criteria evaluation of shoulder and elbow joint function recovery: 21 cases, 9 cases, 2 cases, fine rate was 93.8%; According to the break criteria to evaluate the fracture healing of patients, 19 cases, 9 cases, 3 cases, 1 case, fine rate was 87.5%. Conclusion Using with interlocking intramedul ary nail and external fixator stage I treatment of humeral fractures in openness, and can obtain satisfactory clinical ef ect, at the same time should pay at ention to the prevention and treatment of complications open fractures.