弹性髓内钉内固定治疗儿童四肢骨干骨折  

Treatment of Children’s Limb Fractures with Elastic Intramedullary Nail

作　　者：汤强 张立军 王伟宏 张献兵 吴乙夫 TANG Qiang;ZHANG Li-jun;WANG Wei-hong;ZHANG Xian-bing;WU Yi-fu(Department of Pediatric Surgery,Kunshan First People's Hospital,Kunshan,Jiangsu Province,215300 China)

机构地区：[1]昆山市第一人民医院儿外科

出　　处：《系统医学》2019年第18期103-105,共3页Systems Medicine

摘　　要：目的探讨分析采用弹性髓内钉内固定治疗儿童四肢骨干骨折的临床效果。方法随机选取该院2015年8月-2018年10月收治的儿童四肢骨干骨折患儿84例患儿为研究对象,按照治疗方法分为两组,分别行切开复位和闭合复位后采用弹性髓内钉内固定进行治疗,比较其临床疗效。结果经过治疗后1个月时的X线复查结果显示,观察组患儿的总愈合率为100.00%,明显高于对照组的82.54%(χ^2=4.219,P=0.040<0.05);而观察组的未愈合率为0.00%,明显低于对照组的17.46%(χ^2=4.641,P=0.031<0.05)。观察组的手术时间(t=3.215,P=0.002<0.05)、术中出血量(t=14.040,P=0.000<0.05)、住院时间(t=8.065,P=0.000<0.05)、骨折愈合时间(t=11.811,P=0.000<0.05)等各项临床指标均明显优于对照组。观察组的双下肢不等长、骨骺损伤、再骨折等各种并发症发生率为0.00%,明显低于对照组的15.87%(χ^2=3.785,P=0.047<0.05)。结论闭合复位弹性髓内钉内固定治疗儿童四肢骨干骨折,手术损伤小、术中出血量少、术后恢复快、术后并发症发生率低等优势,值得在临床上推广应用。Objective To investigate the clinical effect of elastic intramedullary nailing in the treatment of children's limb fractures.Methods A total of 84 children with bone fractures of the extremities who were admitted to the hospital from August 2015 to October 2018 were randomly selected.The patients were divided into two groups according to the treatment method.The elastic marrow was used after open reduction and closed reduction.Internal nail fixation for treatment,compare its clinical efficacy.Results X-ray examination at 1 month after treatment showed that the total healing rate of the observation group was 100.00%,which was significantly higher than 82.54%of the control group(χ^2=4.219,P=0.040<0.05).The rate of non-healing was 0.00%,which was significantly lower than 17.46%of the con-trol group(χ^2=4.641,P=0.031<0.05).The operation time of the observation group(t=3.215,P=0.002<0.05),intraopera-tive blood loss(t=14.040,P=0.000<0.05),hospitalization time(t=8.065,P=0.000<0.05),fracture healing time(t=11.811,P=0.000<0.05)and other clinical indicators were significantly better than the control group.The incidence of various complications such as unequal length,osteophyte injury and re-fracture in the observation group was 0.00%,which was significantly lower than that of the control group 15.87%(χ^2=3.785,P=0.047<0.05).Conclusion Closed reduction and e-lastic intramedullary nailing for the treatment of children's limb bone fractures,small surgical injury,less intraoperative blood loss,rapid postoperative recovery,and low postoperative complications are worthy of clinical application.

关 键 词：弹性髓内钉 内固定 儿童 四肢骨干 

分 类 号：R72[医药卫生—儿科]