可视化磁力导航髓内钉联合捆绑带与锁定钢板治疗股骨干骨折疗效比较  

Comparison of the clinical effects of visualization magnetic navigation nail with lashing and locking compression plate for treatment of femoral shaft fractures

作　　者：孙全波[1] 

机构地区：[1]菏泽医学专科学校临床医学系,菏泽274000

出　　处：《济宁医学院学报》2017年第6期407-410,共4页Journal of Jining Medical University

摘　　要：目的比较可视化磁力导航髓内钉联合捆绑带与锁定钢板治疗股骨干骨折的临床效果,以便为诊治股骨干骨折提供更佳的方式。方法选取2013年1月-2014年5月我院收治的98例股骨干骨折作为观察对象,按照随机数表法把患者随机均分为观察组与对照组,对照组采用锁定钢板治疗,观察组采用可视化磁力导航髓内钉联合捆绑带治疗,对比两组的临床效果及并发症情况。结果观察组的优良率为91.84%,明显高于对照组的73.47%,差异有统计学意义(P<0.05)。观察组的骨折愈合时间、手术时间、术中出血量、术后抗生素时间、术后引流量及术后住院时间均明显低于对照组,差异有统计学意义(P<0.01)。观察组患者的并发症发生率为4.08%,对照组为18.37%,两组差异有统计学意义(P<0.05)。结论可视化磁力导航髓内钉联合捆绑带治疗股骨干骨折与锁定钢板相比具有固定牢固、骨折愈合时间短、手术时间短、出血量少、并发症少等优点,值得临床应用。Objective To compare the clinical effects of visualization magnetic navigation nail with lashing and locking compression plate for treatment of femoral shaft fractures,and provide a better treatment of femoral shaft fractures.Methods 98 cases of femoral shaft fractures patients as research subjects were selected from January 2013 to May 2014 in our hospital,and randomly divided into the observation group and the control group by random number table method.The control group were cured by locking compression plate,and the observation group by visualization magnetic navigation nail with lashing. In two groups,the clinical effect and adverse symptoms situation were compared. Results The excellent rate of the observation group was 91. 84%,significantly higher than the control group of 73. 47%,and the difference of the two groups was statistically significant( P < 0. 05). The fracture healing time,operative time,blood loss,postoperative antibiotics,postoperative drainage and postoperative hospital stay of the observation group were lower than control group,and the difference of the two groups was statistically significant( P < 0. 05). The incidence of adverse symptoms of the observation group was 4. 08%,the control group 18. 37%,and the difference of the two groups was statistically significant( P < 0. 05). Conclusion The treatment of femoral shaft fracture with visual magnetic navigation and intramedullary nailing combined with locking plate has the advantages of firm fixation,short fracture healing time,short operation time,less bleeding,less complications,and is worthy of clinical application.

关 键 词：可视化磁力导航髓内钉 捆绑带 锁定钢板 股骨干骨折 

分 类 号：R683.42[医药卫生—骨科学]