加压钢板与带锁髓内针治疗股骨干骨折的疗效分析  

Analysis of the Clinical Effect of DCP and Interlocking Intramedullary Nail for the Treatment of Femoral Shaft Fracture

作　　者：李洪涛[1] 冷重光[2] 赵江涛[2] 

机构地区：[1]辽宁中医药大学研究生院 [2]沈阳市骨科医院,沈阳110044

出　　处：《中国现代医生》2008年第30期3-4,共2页China Modern Doctor

摘　　要：目的探讨加压钢板与带锁髓内针两种内固定方法治疗股骨干骨折的差异及疗效。方法回顾性分析2003年3月～2008年1月间收治的64例股骨干骨折患者的临床资料,分为加压钢板组和带锁髓内针组。分别对手术时间、手术失血量、骨折愈合时间等进行对比研究。结果全部病例术后随访期为3～23个月,平均11个月;带锁髓内针组骨折平均愈合时间为113.1d,加压钢板组骨折平均愈合时间为136.2d;术中出血量,骨折愈合时间带锁髓内针组优于加压钢板组(P<0.05)。结论带锁髓内针是股骨干骨折内固定的理想材料,在无手术禁忌证的情况下应作为首选。Objective To compare and investigate the clinical effects of two internal fixation treating methods in the treatment of femoral shaft fracture. Methods 64 cases of femoral shaft fracture admitted from March 2003 to January 2008 were reviewed retrospectively. Group A was treated with dynamic compression plate （DCP）, group B was treated with interlocking intramedullary nail. Operation time, blood loss, fracture union time and so on were compared. Results All cases were followed-up for an average 11 months（3-23 months）. The mean time of fracture union time of group B were 113.1 days, the other group were 136.2 days. Blood loss of group B was better than group A（P〈 0.05）. Conclusion Interlocking intramedullary nail is a good internal fixation method in the treatment of femoral shaft fracture. Under the situation that no operation taboo disease interlocking intramedullary nail should be chosen first.

关 键 词：股骨干骨折 加压钢板 带锁髓内针 疗效 

分 类 号：R683.42[医药卫生—骨科学]