带锁髓内钉治疗胫骨与股骨干创伤骨折后骨不连的临床研究  

Clinical Study of Interlocking Intramedullary Nail in the Treatment of Nonunion After Traumatic Fracture of Tibia and Femur Shaft

作　　者：马伟巍[1] 盛文博 汪维[1] 曹欣宇[1] MA Weiwei;SHENG Wenbo;WANG Wei;CAO Xinyu(Department of Orthopedics,Shanghai 7th People's Hospital,Shanghai,200137 China)

机构地区：[1]上海市第七人民医院创伤骨科,上海200137

出　　处：《系统医学》2021年第21期69-72,共4页Systems Medicine

基　　金：上海市卫生和计划生育委员会科研课题(20194Y0211)。

摘　　要：目的分析带锁髓内钉治疗胫骨与股骨干创伤骨折后骨不连的临床效果。方法选择2019年8月—2020年8月该院所收治的120例胫骨与股骨干创伤骨折后骨不连患者为研究样本,依照就诊单双号将其分为对照组、观察组,各60例。对照组患者应用动力加压钢板治疗;观察组患者应用带锁髓内钉治疗。分析两组患者术后治疗优良率对比情况、手术指标以及术后并发症发生率。结果观察组术后并发症发生率为6.7%,对照组术后并发症发生率为33.3%,差异有统计学意义(χ^(2)=13.333,P<0.05);观察组患者治疗优良率(96.7%)比对照组高(73.3%),差异有统计学意义(χ^(2)=12.811,P<0.05);观察组患者骨折愈合时间、手术用时更少,切口长度更短,术中出血量、术后引流量更少,差异有统计学意义(P<0.05)。结论针对于胫骨以及股骨干创伤后骨折的患者来讲,应用带锁髓内钉治疗疾病能取得满意的治疗效果。这种手术方法所取得的疗效好,患者术后并发症发生率低,值得进一步在临床内推广以及应用。Objective To analyze the clinical effect of interlocking intramedullary nailing in the treatment of nonunion after traumatic fracture of tibia and femoral shaft.Methods 120 patients with nonunion after traumatic fracture of tibia and femoral shaft treated in the hospital from August 2019 to August 2020 were selected as the research samples.They were divided into control group and observation group according to the treatment order number,with 60 patients in each group.Patients in the control group were treated with dynamic compression plate;the patients in the observation group were treated with interlocking intramedullary nail.The the excellent and good rate of postoperative treatment,the surgical indexes and the incidence of postoperative complications between the two groups were analyzed.Results The incidence of postoperative complications was 6.7%in the observation group,and the incidence of postoperative complications was 33.3%in the control group,the difference was statistically significant(χ^(2)=13.333,P<0.05);the excellent and good rate of the observation group(96.7%)was higher than that of the control group(73.3%),and the difference was statistically significant(χ^(2)=12.811,P<0.05);the observation group had less fracture healing time,less operation time,shorter incision length,less intraoperative bleeding and less postoperative drainage,the difference was statistically significant(P<0.05).Conclusion For patients with post-traumatic fractures of the tibia and femoral shaft,the application of interlocking intramedullary nailing can achieve satisfactory therapeutic results.This surgical method has a good curative effect and a low incidence of postoperative complications,so it can be further promoted and applied in clinical practice.

关 键 词：带锁髓内钉 胫骨 股骨干 创伤骨折 骨不连 临床治疗效果 

分 类 号：R683[医药卫生—骨科学]