自主体位联合交锁髓内钉内固定术治疗股骨骨折患儿的效果  

Effects of active position combined with interlocking intramedullary nail internal fixation in treatment of femoral fractures in children

作　　者：钟天生 杨亚东[2] 钟伟建 ZHONG Tiansheng;YANG Yadong;ZHONG Weijian(Department of Orthopedics of the First People’s Hospital of Nankang District of Ganzhou City,Ganzhou 341400 Jiangxi,China;Department of Orthopedics of First Affiliated Hospital of Gannan Medical University,Ganzhou 341000 Jiangxi,China)

机构地区：[1]赣州市南康区第一人民医院骨科,江西赣州341400 [2]赣南医学院第一附属医院骨科,江西赣州341000

出　　处：《中国民康医学》2021年第23期77-79,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察自主体位联合交锁髓内钉内固定术治疗股骨骨折患儿的效果。方法:选取100例股骨骨折患儿为研究对象,按照随机数字表法分为对照组和观察组各50例。两组均给予交锁髓内钉内固定术治疗,在此基础上,对照组联合协助体位治疗,观察组联合自主体位治疗。比较两组治疗优良率、并发症发生率,以及治疗前后膝关节功能[美国特种外科医院膝关节功能(HSS)评分]和Harris髋关节功能评分。结果:治疗后,两组HSS和Harris评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组治疗优良率为94.00%,高于对照组的74.00%,差异有统计学意义(P<0.05);观察组并发症发生率为6.00%,低于对照组的24.00%,差异有统计学意义(P<0.05)。结论:自主体位联合交锁髓内钉内固定术治疗股骨骨折患儿可提高治疗优良率和关节功能评分,降低并发症发生率,优于协助体位联合交锁髓内钉内固定术治疗效果。Objective:To observe effects of active position combined with interlocking intramedullary nail internal fixation in treatment of femoral fractures in children.Methods:100 children with femoral fractures were selected as the research objects,and were divided into control group and observation group according to a random number table,50 cases in each group.Both groups were treated with interlocking intramedullary nail internal fixation.On this basis,the control group was combined with assisted position therapy,while the observation group was combined with active position therapy.The excellent and good treatment rate,the incidence of complications,and the knee function[American Hospital of Special Surgery Knee Function(HSS)score],the Harris hip function score before and after the treatment were compared between the two groups.Results:After the treatment,the HSS score and the Harris score of the two groups were higher than those before the treatment;those of the observation group were higher than those of the control group;and the differences were statistically significant(P<0.05).The excellent and good treatment rate in the observation group was 94.00%,which was higher than 74.00%in the control group,and the difference was statistically significant(P<0.05).Further,the incidence of complications in the observation group was 6.00%,which was lower than 24.00%in the control group,and the difference was statistically significant(P<0.05).Conclusions:The active position combined with interlocking intramedullary nail internal fixation in the treatment of femoral fractures in the children can improve the excellent and good treatment rate and the joint function score,and reduce the incidence of complications.Moreover,it is superior to the assisted position combined with interlocking intramedullary nail internal fixation.

关 键 词：股骨骨折 自主体位 协助体位 交锁髓内钉 内固定术 关节功能 并发症 

分 类 号：R683.4[医药卫生—骨科学]