弹性髓内钉在学龄前儿童四肢骨干闭合骨折的临床治疗优势  

Advantages of elastic intramedullary nail in the treatment of closed fracture of the limbs of preschool children

作　　者：董贺龙 李羽西 

机构地区：[1]辽宁省沈阳市儿童医院骨科110032

出　　处：《中国综合临床》2017年第5期454-457,共4页Clinical Medicine of China

摘　　要：目的 研究弹性髓内钉治疗学龄前儿童四肢骨干闭合骨折的临床效果.方法 选取我院2014年7月至2016年2月收治的学龄前四肢骨干闭合骨折儿童92例,采用随机数字法将其分为对照组和观察组,每组46例.对照组患儿采用切开复位钢板固定法治疗,观察组患儿采用弹性髓内钉技术治疗.比较两组患儿的手术效果、术后并发症发生率和预后.结果 观察组的手术时间为（63.57±3.12） min,术中出血量为（52.43±11.35） ml,住院时间为（6.10±1.44） d,骨折愈合时间为（8.34±1.13）周,负重时间为（10.85±2.71）周,均明显低于对照组[（94.72±6.49） min、（134.26±23.50） ml、（15.83±2.61） d、（12.05±1.62）周、（16.94±3.25）周],差异均有统计学意义（t值分别为29.34、21.29、22.14、12.74、9.76,P均〈0.01）;观察组的总并发症发生率为6.52%（3/46）,明显低于对照组19.54%（9/46）,差异有统计学意义（χ^2=5.06,P=0.02）.结论 弹性髓内钉技术治疗学龄前儿童四肢骨干闭合骨折可保证较好临床效果,且具有创伤小、骨折愈合质量高,术后并发症少且易护理,是一种高效的治疗技术,可在临床广泛开展.Objective To study the clinical effect of elastic intramedullary nail in the treatment of preschool children limb fractures.Methods Ninety-two 92 cases closed fracture of extremities of preschool children in Children ′s Hospital of Shenyang from July 2014 to February 2016 were selected,and randomly divided into control group and observation group,46 cases in each group.The control group were treated with open reduction and plate fixation treatment,observation group were treated with elastic intramedullary nail treatment.The surgical effect and prognosis index and the incidence of postoperative complications of two groups were compared.Results The operation time,the amount of bleeding,hospitalization time,fracture healing time and loading time of the observation group were significantly lower than the control group（（63.57±3.12） min vs.（94.72±6.49） min,（52.43±11.35） ml vs.（134.26±23.50） ml,（6.10±1.44） d vs.（15.83±2.61） d,（8.34±1.13） weeks vs.（12.05±1.62） weeks,（10.85±2.71） weeks vs.（16.94±3.25） weeks,t=29.34,21.29,22.14,12.74,9.76,P〈0.01）.The incidence of complications in the observation group was 6.52%（3/46）,significantly lower than the control group（19.54%（9/46）,χ2=5.06,P=0.02）.Conclusion The elastic intramedullary nail for treatment of fractures of extremities shaft closed preschool children can guarantee good clinical effect,and has little trauma high quality,healing of fracture,less postoperative complications and easy care,is a kind of efficient treatment technology,can be widely developed in clinic.

关 键 词：弹性髓内钉 学龄前儿童 四肢骨干闭合骨折 

分 类 号：R726.8[医药卫生—儿科]