带锁髓内钉的微创手术处理与临床分析(附110例报告)  

The Mini-invasive Operation of Intramedullary Interlocking Nail and An Clinical Analysis

作　　者：臧晓方[1] 詹瑞森[1] 张朝跃[1] 周勇[1] 江皓[1] 雷翔宇 

机构地区：[1]中南大学湘雅三医院骨科,湖南长沙410013 [2]洛阳轴承集团公司总医院骨科

出　　处：《中国医师杂志》2002年第9期967-968,971,共3页Journal of Chinese Physician

摘　　要：目的　分析带锁髓内钉微创手术方法治疗股骨及胫骨及胫骨骨折的效果 ,探讨手术成功的关键。方法　对 110例下肢骨折采用带锁髓内钉治疗 ,其中微创小切口固定 78例 ,闭合性穿钉 32例。结果　全部病例得到随访 ,平均 16个月 ,15例延迟愈合 ,骨折均于半年后愈合。结论　带锁髓内钉的微创手术治疗下肢骨折具有创伤小、固定坚强、骨折愈合率高 ,能早期活动等优点 。Objective To analyse the application effect of intramedullary interlocking nail in the treatment of femoral and tibial fracture,to discuss the key of the mini-invasive operation.Methods 110 cases of femoral and tibial fracture treated by intramedullary nail from May,1997 to Oct,2001 were reviewed,78 cases were treated by mini-invasive open-reduction and internal fixation,32 cases were treated by intermal fixation without open-reduction.Results All cases were followed-up ,15 cases were delayed at the healing time,but all cases were healed in six months.Conclusion The application of intramedullary nail in the treatment of femoral and tibial frature by mini-invasion has advantages of less trauma,strong fixation,high healing rate,early motion can be obtanied ,but the key of the operation must be grasped.

关 键 词：带锁髓内钉 骨折内固定术 微创技术 临床分析 股骨骨折 胫骨骨折 

分 类 号：R687.33[医药卫生—骨科学] R683.42[医药卫生—外科学]