交锁髓内钉两种扩髓法治疗股骨骨折的临床观察  

Clinical observation of interlocking nail with two expansion methods of the thigh bone marrow in the treatment of femoral fracture

作　　者：王建洪[1] 蒋赛[1] 甘俊松 吴永进[1] 

机构地区：[1]玉环县人民医院骨科,浙江玉环317600

出　　处：《全科医学临床与教育》2012年第3期271-273,共3页Clinical Education of General Practice

摘　　要：目的比较顺向和逆向扩髓交锁髓内钉内固定治疗股骨干骨折的临床疗效。方法回顾性分析采用顺向和逆向扩髓交锁髓内钉内固定治疗的80例股骨干骨折患者临床资料。观察术中C-臂使用时间,术前、术后血红蛋白的改变,手术时间,骨折愈合时间,术后肢体功能恢复情况。结果经术后6～24个月的随访,采用逆向扩髓固定的患者在术中C-臂使用时间、手术时间方面优于顺向扩髓的患者,差异有统计学意义(t分别=-3.55、-2.66,P均<0.05);术前、术后血红蛋白的改变,骨折愈合时间,术后肢体功能恢复情况两组比较,差异无统计学意义(t分别=0.09、0.66,χ2=1.32,P均>0.05)。结论逆向扩髓交锁髓内钉内固定治疗股骨干骨折可明显减少C-臂使用时间、缩短手术时间,同时不增加出血量,且对骨折愈合时间及术后肢体功能恢复情况无明显影响。Objective To compare reverse enlarge pulp and toward enlarge pulp in interlocking nail in the treatment of femoral fracture. Methods A retrospective analysis of interlocking nail fixation in 80 cases femoral shaft fractures was done. Forty cases used reverse enlarge pulp ,and 40 cases used toward enlarge pulp .The C-arm using time,preoperative and postoperative changes of Hb ,the operative time ,the fractures healing time and the recovery of the limb function were compared. Results Followed up 6 to 24 months, C-arm use time, operation time in patients with reverse enlarge pulp were better than that of the toward enlarge pulp patients,The difference was statistically significant （t=-3.55,-2.66,P〈0.05）; the preoperative and postoperative Hb changes,the fractures healing time and the recovery of the limb function were not statistically significant （t=0.09,0.66,x2=1.32,P〉0.05）. Conclusions The reverse enlarge pulp interlocking nail is more effective in the treatment of femoral shaft fractures than toward enlarge pulp with shorter C-arm using time and shorter operative time.

关 键 词：股骨骨折 逆向扩髓 髓内钉 

分 类 号：R687.3[医药卫生—骨科学]