顺行交锁髓内钉在肱骨干复杂型骨折治疗中的应用  

Application of Anterograde Interlocking Intramedullary Nail in the Treatment of Complex Humeral Fracture

作　　者：巫培康[1] 

机构地区：[1]广东药学院附属第一医院骨外科,广东广州510080

出　　处：《临床医学工程》2013年第11期1377-1378,共2页Clinical Medicine & Engineering

摘　　要：目的探讨顺行交锁髓内钉治疗肱骨骨干复杂型骨折的临床效果。方法选取2010年到2012年我院收治的肱骨干复杂型骨折患者64例作为此次研究对象并随机分为实验组和对照组各32例。实验组患者采用顺行交锁髓内钉进行治疗,而对照组患者则使用钢板内固定的方法治疗。比较实验组和对照组患者的各项临床指标以及并发症发生情况。结果两组患者经过不同的手术治疗后,实验组骨性愈合时间和对照组比较差异无统计学意义(P>0.05),两组均有2例发生骨折延迟愈合。术后两组患者均出现了并发症,但实验组的并发症总人数与对照组比较差异有统计学意义(P<0.05)。对实验组和对照组患者进行NEER评定后,两组的优良率差异无统计学意义(P>0.05)。结论顺行交锁髓内钉与钢板内固定治疗肱骨骨干复杂型骨折均有一定的临床疗效,但两者相比较,顺行交锁髓内钉术后并发症发生情况更少,更值得临床推广。Objective To explore the clinical effect of anterograde interlocking intramedullary nail in the treatment of complex humeral fracture. Methods Sixty-four patients with complex humeral fracture in our hospital from 2010 to 2012 were selected as the research object and randomly divided into two groups, with 32 cases in each group. Patients in the experimental group were treated with anterograde interlocking intramedullary nail, while patients in the control group were treated with plate internal fixation. The clinical indicators and occurrence of complications were compared between the two groups. Results After treatment, there was no significant difference between the two groups in the bone healing time （P 〉0.05）, and both groups had 2 cases of delayed fracture healing. The cases of complications in the experimental group were fewer than those in the control group （P〈0.05）. The difference of excellence and good rate between the two groups were not statistically significant （P 〉0.05）. Conclusions Both anterograde interlocking intramedullary nail and plate internal fixation have curative effect in the treatment of complex humeral fracture, but the former has fewer complications, and deserves clinical application.

关 键 词：顺行交锁髓内钉 肱骨骨干 复杂型骨折 应用 

分 类 号：R683.41[医药卫生—骨科学]