弹性髓内钉在小儿下肢管状骨折中的临床及护理研究  

INTRAMEDULLARY STABILIZATION OF LOWER LIMB FRACTURES WITH ELASTIC NAILS IN CHILDREN

作　　者：王湘萍[1] 

机构地区：[1]临沂市兰山区人民医院,山东临沂276000

出　　处：《山东医学高等专科学校学报》2011年第1期49-53,共5页Journal of Shandong Medical College

基　　金：临沂市科技发展计划项目(No.201013102)

摘　　要：目的 探讨撬拨法及弹性髓内钉治疗小儿下肢管状骨折的疗效及护理方法.方法 对82例儿童下肢管状骨折采用弹性髓内钉治疗（TIEN组）,并给予积极的护理配合,与同期非弹性髓内钉治疗者（钢板组及非手术组）相比较.结果 随访全部病例,随访时间6～30个月,平均14个月.TIEN组与钢板组及非手术组相比,在住院时间、完全负重时间、并发症等方面有明显的差异.全部病例,无骨感染和骨不连发生,无术后断针、再移位及再骨折现象.结论 弹性髓内钉固定是一种安全、简便、快速的儿童长骨干骨折的治疗方法,与传统的技术相比,它具有损伤小、不损伤骺板、骨折愈合快、住院周期短、患儿易耐受等优点,是目前治疗儿童下肢长骨骨折的理想方法.Objective To apply elastic nail treatment for children with lower limb long bone fractures and to analyze its effects. Methods A retrospective study of elastic nail treatment for 82 cases of lower limb long bone fractures from September, 2005 to March, 2010. The curative effects were compared with those of the non - elastic nail treatment. Results All cases receieved the followe - up surveys for 6 to 30 months, with the average being 14 months. The elastic treatment group showed no bone infections, no bone nonunion, no needle- breaking, no retranslocation and no bone re- fracture, and there existed significant differences with the non - elastic treatment gropus in terms of the hospitalization time, the bearing time and the complications. Conclusion Compared with traditional techniques, elastic intramedullary nail fixation is an effective and efficient way without much trauma or epiphyseal plate impairment in the treatment of children with long bone fractures.

关 键 词：儿童 长骨骨折 弹性髓内钉 

分 类 号：R683.42[医药卫生—骨科学] R473[医药卫生—外科学]