非扩髓带锁髓内钉治疗开放性胫骨骨折的临床疗效  

作　　者：徐士安 

机构地区：[1]浙江省浦江县人民医院,322000

出　　处：《浙江临床医学》2013年第9期1298-1300,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨非扩髓带锁髓内钉治疗开放性胫骨骨折的临床疗效和安全性。方法选取开放性胫骨骨折患者60例，按照随机自愿原则平均分为观察组和对照组各30例，观察组应用非扩髓型带锁髓内钉治疗，对照组采用扩髓型带锁髓内钉治疗，比较二者的临床疗效。结果观察组临床疗效优于对照组，如局部感染率分别是6．67％和23．33％，平均骨折愈合时间分别为（17．35±3．21）周和（22．51±4．56）周，延迟愈合分别为10．00％和26．67％，差异均有统计学意义（P均〈0．05）。结论非扩髓带锁髓内钉治疗开放性胫骨骨折，具有创伤小、感染率低、骨折愈合快，值得临床推广应用。Objective To explore the clinical efficacy and safety of non-reamed intramedullary nailing therapy in open tibial fractures. Methods Selected 60 cases patients with open tibial fractures in accordance with voluntary principle were divided into the intervention group （ 30 cases ） and control group （ 30 cases ） ; Patients in intervention group were treated with non-reamed intramedullary nailing, patients in control group were treated with reamed intramedullary nailing, compared the clinical efficacy of the two group. Results The clinical efficacy of patients in the observation group was better than that in the control group, such as the local infection rates respectively were 6.67% and 23.33%, the average healing time of the fractures respectively were （ 17.35 ±3.21 ） weeks and （ 22.51 ±4.56 ） weeks, delayed union respectively were 10.00% and 26.67% respectively, there were significant differences （ all P〈0.05 ） .Conclusion The non-reamed intramedullary nailing therapy patients with open tibial fractures has less trauma, lower infection rate and less delayed union, and hence is worthy of being recommended in clinical practice.

关 键 词：胫骨 开放骨折 内固定 非扩髓带锁髓内钉 

分 类 号：R683.42[医药卫生—骨科学]