交锁髓内钉与外固定支架治疗四肢骨折的临床价值对比  

Comparison of clinical value of interlocking intramedullary nail and external fixation in the treatment of limb fractures

作　　者：梁观宝 杨明明 叶斌 黄新宇 LIANG Guan-bao;YANG Ming-ming;YE Bin(Department of Orthopedics,Jiangmen People’s Hospital,Jiangmen 529000,China)

机构地区：[1]江门市人民医院骨科,529000

出　　处：《中国实用医药》2021年第15期11-13,共3页China Practical Medicine

摘　　要：目的对比四肢骨折患者应用交锁髓内钉与外固定支架治疗的临床价值。方法100例四肢骨折患者,根据病床号单双数将其分为观察组与对照组,每组50例。对照组患者应用外固定支架治疗,观察组患者应用交锁髓内钉治疗。随访6个月,比较两组患者的临床疗效,并发症发生率,骨折愈合时间。结果观察组患者的总有效率96.00%高于对照组的74.00%,差异有统计学意义(P<0.05)。观察组患者的并发症发生率4.00%低于对照组22.00%,差异有统计学意义(P<0.05)。观察组患者的骨折愈合时间(98.48±9.48)d短于对照组的(111.59±10.39)d,差异有统计学意义(P<0.05)。结论交锁髓内钉较外固定支架治疗四肢骨折患者更具应用价值,不仅能缩短患者骨折愈合时间,还利于骨折部位功能有效恢复,患者在治疗期间并发症发生率较低,具有较高的安全性,更适用于临床治疗四肢骨折患者。Objective To compare the clinical value of interlocking intramedullary nail and external fixation in the treatment of limb fractures.Methods A total of 100 patients with limb fractures were divided into observation group and control group according to odd-even number of sickbed number,with 50 cases in each group.The control group was treated with external fixation,and the observation group was treated with interlocking intramedullary nail.The clinical efficacy,occurrence of complications and fracture healing time were compared between the two groups.Results The total effective rate 96.00%of the observation group was higher than 74.00%of the control group,and the difference was statistically significant(P<0.05).The incidence of complications 4.00%of the observation group was lower than 22.00%of the control group,and the difference was statistically significant(P<0.05).The fracture healing time(98.48±9.48)d of the observation group was shorter than(111.59±10.39)d of the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with external fixation,the interlocking intramedullary nail has more application value,which can not only shorten fracture healing time,but also help the function recovery of the fracture site.The patient has a lower incidence of complications during the treatment and has a higher safety.It is more suitable for clinical treatment of patients with limb fractures.

关 键 词：交锁髓内钉 外固定支架 四肢骨折 临床价值 

分 类 号：R687.3[医药卫生—骨科学]