弹性髓内针技术与钢板固定术治疗四肢骨折疗效及安全性研究  

Comparison of the efficacy and safety of elastic intramedullary nail and plate fixation in the treatment of limb fracture

作　　者：张鲁 白涛 刘宏平 王存良 付亚辉[2] 杨佩[3] ZHANG Lu;BAI Tao;LIU Hongping(Department of Orthopedics,Yangling Demonstration Zone Hospital,Shaanxi Province,Xi'an 712100)

机构地区：[1]陕西省杨凌示范区医院骨科,西安712100 [2]西安交通大学附属红会医院骨盆创伤科,西安710054 [3]西安交通大学第二附属医院关节中心,西安710004

出　　处：《陕西医学杂志》2020年第7期811-814,共4页Shaanxi Medical Journal

基　　金：陕西省重点研发计划项目(2017-SF212)。

摘　　要：目的:探究弹性髓内钉技术与钢板固定术在治疗四肢骨折中的疗效和安全性差异。方法:选择100例四肢骨折患者为研究对象,随机分为研究组与对照组(每组各50例),研究组患者接受弹性髓内钉固定,对照组患者接受钢板固定,对比两组患者治疗有效率、一般手术指标、术后关节恢复情况以及术后并发症发生情况。结果:①研究组治疗有效率为98.00%(49/50),对照组患者治疗有效率为86.00%(43/50),两组患者治疗有效率比较差异具有统计学意义(P<0.05);②研究组患者的手术时间、术中出血量、住院时间、骨折愈合时间均低于对照组患者(P<0.05);③术后3周、术后6周时研究组患者的关节活动度均高于对照组(P<0.05);④术后并发症比较显示研究组发生率低于对照组(P<0.05)。结论:相比于钢板固定术,弹性髓内钉技术对四肢骨折治疗效果更好,患者术后关节功能恢复更快,同时术后并发症发生率更低。Objective:To explore the difference of efficacy and safety between elastic intramedullary nail and steel plate fixation in the treatment of limb fracture.Methods:100 patients with limb fractures were selected as the research objects and divided into study group and control group,with 50 case in each group.The study group was treated with elastic intramedullary nail fixation,and the control group was treated with steel plate fixation.Results:The effective rate of treatment in the study group was 98.00%(49/50),and that in the control group was 86.00%(43/50),and there was statistical difference between the two groups(P<0.05).The operation time,intraoperative hemorrhage volume,hospitalization time and fracture healing time in the study group were all lower than those in the control group(P<0.05).The joint activity in the study group was higher than that in the control group(P<0.05)at 3 and 6 weeks after the operation.The incidence of postoperative complications in the study group was significantly lower than that in the control group(P<0.05).Conclusion:Compared with steel plate fixation,the elastic intramedullary nail fixation is more effective in the treatment of limb fracture,and the joint function of patients recovers faster,and the incidence of postoperative complications is lower.

关 键 词：弹性髓内钉 钢板固定术 四肢骨折 安全性 对比研究 

分 类 号：R683.4[医药卫生—骨科学]