十字交锁髓内钉治疗胫骨远端骨折的临床效果  

Clinical effect of cross-interlocking intramedullary nail on patients with distal tibial fracture

作　　者：雍波[1] 陈丹祎[1] YONG Bo;CHEN Dan-yi(Shangluo Central Hospital, Shangluo 726000, China)

机构地区：[1]商洛市中心医院

出　　处：《临床医学研究与实践》2019年第29期76-78,共3页Clinical Research and Practice

摘　　要：目的探究十字交锁髓内钉治疗胫骨远端骨折(Pilon骨折)的临床效果。方法选取2015年1月至2018年10月我院收治的56例Pilon骨折患者作为研究对象,根据手术方式的不同将其分为对照组(28例,经皮锁定钢板内固定术治疗)与观察组(28例,十字交锁髓内钉治疗)。比较两组患者的治疗效果。结果治疗后3个月,观察组患者的治疗优良率为96.43%,略高于对照组的89.29%,但组间差异无统计学意义(P>0.05)。治疗后3个月,观察组患者的并发症总发生率为7.14%,明显低于对照组的28.57%,差异具有统计学意义(P<0.05)。治疗前,两组患者HSS、AOFAS及WHOQOL-100各项评分比较,差异无统计学意义(P>0.05);治疗后3个月,两组患者HSS、AOFAS及WHOQOL-100各项评分均较治疗前明显提高,且观察组均高于对照组,差异具有统计学意义(P<0.05)。结论十字交锁髓内钉治疗Pilon骨折的临床效果显著,可以降低患者的术后并发症发生率,改善患者的膝踝关节功能,提高患者的生活质量水平,值得临床推广与应用。Objective To explore the clinical effect of cross-interlocking intramedullary nail on patients with distal tibial fracture (Pilon fracture). Methods A total of 56 patients with Pilon fracture admitted in our hospital from January 2015 to October 2018 were selected as the study objects and divided into control group (28 cases, treated with percutaneous locking plate internal fixation) and observation group (28 cases, treated with cross-interlocking intramedullary nail) according to different surgical methods. The therapeutic effects of the two groups were compared. Results Three months after treatment, the excellent-effective rate of treatment in the observation group was 96.43%, which was slightly higher than 89.29% in the control group, but there was no significant difference between the two groups(P>0.05). Three months after treatment, the total incidence of complications in the observation group was 7.14%, which was significantly lower than 28.57% in the control group, the difference was statistical significance(P<0.05). Before treatment, there were no significant differences in HSS, AOFAS and WHOQOL-100 scores between the two groups (P>0.05). Three months after treatment, the scores of HSS, AOFAS and WHOQOL-100 in the two groups were significantly higher than those before treatment, and those in the observation group were higher than the control group, the differences were statistical significance(P<0.05). Conclusion Cross-interlocking intramedullary nail on patients with Pilon fracture has a significant clinical effect, it can reduce the incidence of postoperative complications, improve the function of knee, ankle joint and the quality of life in patients. It is worthy of clinical promotion and application.

关 键 词：十字交锁髓内钉 经皮锁定钢板内固定术 胫骨远端骨折 膝关节 踝关节 

分 类 号：R683.42[医药卫生—骨科学]