闭合复位与切开复位交锁髓内钉内固定术治疗股骨干骨折患者的临床疗效对比  

Comparison of the Clinical Effects of Closed Reduction and Open Reduction with Interlocking Intramedullary Nail Internal Fixation in the Treatment of Patients with Femoral Shaft Fractures

作　　者：卢峰[1] LU Feng(Department of Orthopaedics,Taian Enliang Hospital,Anshan 114100,China)

机构地区：[1]辽宁省鞍山市台安县恩良医院骨科,辽宁鞍山114100

出　　处：《中国医药指南》2020年第23期118-119,共2页Guide of China Medicine

摘　　要：目的对比闭合复位与切开复位交锁髓内钉内固定术治疗股骨干骨折患者的临床疗效。方法选择我科2015年6月至2018年1月收治的92例股骨干骨折并接受交锁髓内钉内固定术治疗的患者作为研究对象,根据患者及家属选择手术方式的不同分为观察组(47例)和对照组(45例)。观察组患者采用闭合复位交锁髓内钉内固定术治疗,对照组患者采用切开复位交锁髓内钉内固定术治疗。记录并比较两组患者的手术时间、术中出血量,同时随访1年后比较两组患者骨折愈合时间和膝关节功能恢复情况,比较两组患者并发症发生情况。结果两组患者手术时间[(92.47±19.42)min vs.(93.54±18.73)min]比较差异无统计学意义(P>0.05);观察组患者术中出血量[(187.14±45.37)mL vs.(418.42±108.73)mL]少于对照组(P<0.05);随访1年后,观察组患者骨折愈合时间短于对照组[(27.68±7.52)周vs.(38.52±10.36)周],膝关节功能评分高于对照组[(86.57±12.34)分vs.(75.17±11.68)分](P<0.05)。观察组患者术后并发症发生率低于对照组(6.38%vs.13.33%),差异有统计学意义(P<0.05)。结论与切开复位交锁髓内钉内固定术相比,闭合复位交锁髓内钉内固定术治疗股骨干骨折具有术中出血量少、术后并发症少、骨折愈合速度快、膝关节功能恢复好等优点,能显著提高患者的预后。Objective To compare the clinical effect of closed reduction and open reduction with interlocking intramedullary nail internal fixation in the treatment of patients with femoral shaft fractures.Methods 92 cases of femoral shaft fractures treated with interlocking intramedullary nail internal fixation in our department from June 2015 to January 2018 were selected as the research objects,and they were divided into observation group(47 cases)and control group(45 cases)according to different surgical methods selected by patients and their families.Patients in the observation group were treated with closed reduction with interlocking intramedullary nail internal fixation,while patients in the control group were treated with open reduction with interlocking intramedullary nail internal fixation.The operation time and intraoperative blood loss of the two groups were recorded and compared.At the same time,the fracture healing time and knee joint function recovery of the two groups were compared after one year of follow-up.Compare the incidence of complications between the two groups.Results There was no significant difference in the operation time between the two groups[(92.47±19.42)min vs.(93.54±18.73)min](P>0.05);the intraoperative blood loss in the observation group was less than that in the control group[(187.14±45.37)mL vs.(418.42±108.73)mL](P<0.05);after one year of follow-up,the fracture healing time of the observation group was shorter than that of the control group,and the knee joint function score was higher than that of the control group[(27.68±7.52)weeks vs.(38.52±10.36)weeks](P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(6.38%vs.13.33%)(P<0.05).Conclusion Compared with open reduction with interlocking intramedullary nail fixation,closed reduction with interlocking intramedullary nail internal fixation has the advantages of less intraoperative blood loss,less postoperative complications,faster fracture healing speed and better reco

关 键 词：股骨干骨折 闭合复位 切开复位 交锁髓内钉内固定术 临床疗效 

分 类 号：R687.33[医药卫生—骨科学]