闭合复位交锁髓内钉治疗胫骨骨折的临床效果分析  

Clinical Analysis of Closed Reduction and Interlocking Intramedullary Nail in the Treatment of Tibiofibular Fracture

作　　者：隗功宁 丛云海[1] 朱治国 王立超[1] 史宗新[1] KUI Gong-ning;CONG Yun-hai;ZHU Zhi-guo;WANG Li-chao;SHI Zong-xin(Department of Orthopaedics,Liangxiang Hospital,Fangshan District,Beijing,102401 China)

机构地区：[1]北京市房山区良乡医院骨科,北京102401

出　　处：《系统医学》2018年第19期99-101,共3页Systems Medicine

摘　　要：目的分析胫骨骨折应用闭合复位交锁髓内钉治疗临床疗效。方法选择该院2016年7月—2017年7月期间收治的胫骨骨折患者58例,依据治疗方法差异性将所有患者均分两组。予以锁定钢板内固定治疗的29例患者为参照组,予以闭合复位交锁髓内钉治疗的29例患者为研究组,最后比对治疗效果。结果比对两组患者的治疗总有效率,研究组(96.5%)高于参照组(69.0%),组间数据证实后差异有统计学意义(χ~2=7.733 3,P<0.05)。比对两组患者的术中出血量、骨折愈合时间和HSS评分,研究组(40.29±8.48)mL、(5.31±1.22)月、(90.36±6.48)分与参照组(72.37±10.55)m L、(6.22±1.06)月、(80.22±5.48)分比较差异有统计学意义(t=12.763 0、3.032 1、6.434 3,P<0.05)。从并发症发生率来看,研究组(6.8%)与参照组(13.6%)组间差异无统计学意义(χ~2=0.743 6,P>0.05)。结论胫骨骨折应用闭合复位交锁髓内钉治疗可以获取显著的治疗效果,同时可以促使患者快速康复,可在临床上进一步普及。Objective To analyze the clinical efficacy of closed reduction and interlocking intramedullary nail in the treatment of tibiofibular fracture. Methods A total of 58 patients with tibiofibular fractures who were admitted to the hospital from July 2016 to July 2017 were enrolled. All patients were divided into two groups according to the difference in treatment methods. Twenty-nine patients who underwent locking plate fixation were the reference group, and 29 patients who underwent closed reduction and interlocking intramedullary nailing were included in the study group. Results The total effective rate of treatment was compared between the two groups. The study group （96.5%） was higher than the reference group （69.0%）. The difference between the groups was statistical significance （χ2=7.733 3,P〈0.05）. The intraoperative blood loss, fracture healing time and HSS scores of the two groups were compared between the study group （40.29±8.48）mL, （5.31±1.22） months, （90.36±6.48）points and the reference group （72.37±10.55）mL,（6.22±1.06）months, （80.22±5.48）points, the difference between the groups was statistical significance（t=12.763 0, 3.032 1, 6.434 3,P〈0.05）. From the complication rate, the difference between the study group （6.8%） and the reference group （13.6%）, was not statistically significant（χ2=0.743 6,P〉0.05）. Conclusion The treatment of humeral fractures with closed reduction and interlocking intramedullary nail can obtain significant therapeutic effects, and can promote rapid recovery of patients, which can be further popularized in clinic.

关 键 词：闭合复位交锁髓内钉 胫骨骨折 临床效果 

分 类 号：R683[医药卫生—骨科学]