髓内钉与外固定支架治疗胫腓骨骨折的临床疗效对比研究  

Comparative Research on Clinical Curative Effect of Bone Nail and External Fixation in Treatment of Fracture of Tibia and Fibula

作　　者：文宏为 刘芬 

机构地区：[1]湖北省松滋市第三人民医院外科,湖北松滋434200

出　　处：《中外医疗》2016年第6期80-81,共2页China & Foreign Medical Treatment

摘　　要：目的研究并分析应用髓内钉与外固定支架两种方法在治疗胫腓骨骨折方面的临床效果。方法随机选取2013年1月—2015年6月期间在该院治疗的胫腓骨骨折患者50例,采用随机均分的方法分成髓内钉组和外固定组两组,每组25例。髓内钉组采用自锁髓内钉法固定治疗:外固定组患者采用单臂外固定法固定治疗。比较两组患者术中骨痂出现、骨折愈合术中出血量、临床疗效以及并发症。结果髓内钉组在术中出血量多但是骨痂出现的时间、骨折愈合时间两个个方面要明显少于外固定组(P<0.05);外固定组的临床效果总有效率68%显著低于髓内钉组(96%)(P<0.05);髓内钉组未出现并发症。结论自锁髓内钉法在治疗胫腓骨骨折临床效果要优于外固定法,有骨痂出现早、并发症少等优点,值得在临床上推广,优先考虑。Objective To research and analyze the clinical effect of the two methods including bone nail and external fixation in treatment of fracture of tibia and fibula. Methods 50 cases of patients with fracture of tibia and fibula treated in our hospital from January 2013 to June 2015 were selected and randomly divided into the bone nail group and the external fixation group with 25 cases in each, the bone nail group were given autolocking intramedullary pin fixation treatment, the external fixation group were given unilateral external fixation treatment, the appearance of callus in operation, blood loss in the operation of fracture healing, clinical curative effect and complications of the two groups were compared. Results The intraoperative blood loss in the bone nail group was more than that in the external fixation group, but the appearance time of callus and the fracture healing time in the bone nail group were obviously less than those in the external fixation group,（P〈0.05）, the total effective rate of clinical effect in the external fixation group was obviously lower than that in the bone nail group,（68% vs 96%）（P0.05）, and there was no complication in the bone nail group. Conclusion The clinical effect of autolocking intramedullary pin method in treatment of fracture of tibia and fibula is better than that of external fixation method with the advantages such as early appearance of callus and few complications, which is worth promotion in clinic and priority.

关 键 词：胫腓骨骨折 自锁髓内钉 单臂外固定 临床疗效 

分 类 号：R687.3[医药卫生—骨科学]