带锁髓内钉与锁定钢板内固定治疗成人股骨骨折的效果比较  

Effect comparison of interlocking intramedullary nail and locking plate internal fixation on femoral fractures in adults

作　　者：陈剑成 梁勇革 谢文锋 CHEN Jian-cheng, LIANG Yong-ge ,XIE Wen-feng(The First Department of Orthopedics （Ward One of Bone Fracture）,Heshan Traditional Chinese Medicine Hospital of Heshan City in Guangdong Province,Heshan 529700,China)

机构地区：[1]广东省鹤山市中医院外一科(骨伤一区),广东鹤山529700

出　　处：《中国当代医药》2018年第13期95-97,共3页China Modern Medicine

摘　　要：目的探讨带锁髓内钉与锁定钢板内固定治疗成人股骨骨折的效果。方法选取2013年1月~2015年1月我院收治的80例成人股骨骨折患者,采用随机数字表法将其分为对照组、观察组,每组40例。对照组患者采用锁定钢板内固定治疗,观察组采用带锁髓内钉内固定治疗;对比两种内固定方案的治疗效果。结果观察组患者的手术用时、骨折愈合时间明显低于对照组,且手术出血量少于对照组,差异均有统计学意义(P<0.05)。观察组患者治疗优良率明显高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论带锁髓内钉与锁定钢板内固定治疗成人股骨骨折的效果比较发现,其均能够帮助患者骨折得到相应恢复,但是比较可见锁髓内钉治疗的效果相对较好,在改善患者手术创伤、改啥患者术后恢复方面运用优势更高,值得推广。Objective To investigate the effect of interlocking intramedullary nail and locking plate fixation in the treatment of adult femoral fracture.Methods From January 2013 to January 2015, 80 cases of adult femoral fracture patients were selected and randomly divided into control group and observation group,40 cases in each group. Patients in the control group were treated with locking plate internal fixation, while patients in the observation group were treated with interlocking intramedullary nail internal fixation.The therapeutic effects of two internal fixation schemes were compared.Results The operative time and fracture healing time in the observation group were significantly lower than those in the control group,and the amount of operative bleeding in the observation group was less than that in the control group, the differences were statistically significant（P〈0.05）.The excellent and good rate of the observation group was significantly higher than that of the control group, the difference was statistically significant（P〈0.05）.The incidence of complications in the observation group was significantly lower than that in the control group, the difference was statistically significant（P〈0.05）.Conclusion It is detected adult femoral fractures with interlocking intramedullary nails and locking plate internal fixation both aid on the bone fracture recovery to some extent,but the effect with interlocking intramedullary nail is relatively better and has advantages of surgical trauma improvement and amelioration of postoperative recovery,which is worthy of promotion.

关 键 词：带锁髓内钉内固定 锁定钢板内固定 成人股骨骨折 效果 

分 类 号：R687.3[医药卫生—骨科学]