分析带锁髓内钉内固定术治疗四肢创伤骨折后骨不连患者的临床疗效及安全性  

Objective to Analyze the Clinical Efficacy and Safety of Interlocking Intramedullary Nailing in the Treatment of Nonunion after Traumatic Fracture of Extremities

作　　者：关鑫 王振田 GUAN Xin;WANG Zhen-tian(Department of orthopedics,Chaoyang central hospital,Chaoyang city,Liaoning province 122000)

机构地区：[1]朝阳市中心医院骨外一科,辽宁朝阳122000

出　　处：《中国伤残医学》2022年第4期2-3,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨带锁髓内钉内固定术在四肢创伤骨折后骨不连患者治疗中的应用效果及其安全性。方法:随机抽选本院2019年5月-2020年5月接收的64例四肢创伤骨折后骨不连患者,采用随机数字表法分为对照组(32例,加压钢板内固定术)与观察组(32例,带锁髓内钉内固定术),对比2组治疗效果。结果:骨折愈合优良率方面,观察组比对照组高,而并发症发生率比对照组低,差异明显(P<O.05);输血量、手术时间、引流量、骨折愈合时间方面,观察组均比对照组少,差异显著(P<0.05)。结论:予以四肢创伤骨折后骨不连患者提供带锁髓内钉内固定术治疗,其对于骨折的愈合十分有利,而且能够尽量保证手术的安全性。Objective:To investigate the application effect and safety of interlocking intramedullary nail fixation in the treatment of nonunion patients after limb trauma and fracture.Methods:Sixty-four patients with nonunion after limb trauma and fracture were randomly selected from our hospital.The time was selected from May 2019 to May 2020.They were divided into control group(32 cases,compression plate internal fixation)by random number table(Operation)and the observation group(32 cases,interlocking intramedullary nail internal fixation),to compare the treatment effects of the two groups.Results:In terms of the excellent fracture healing rate,the observation group was higher than the control group,while the complication rate was lower than the control group.The difference was significant(P<0.05).In terms of blood transfusion,operation time,drainage,and fracture healing time,the observation group was better than The control group was few and the difference was significant(P<0.05).Conclusion:Interlocking intramedullary nail internal fixation is provided to patients with nonunion after limb trauma and fracture,which is very beneficial to the healing of the fracture and can ensure the safety of the operation as much as possible.

关 键 词：四肢创伤骨折 骨不连 带锁髓内钉内固定术 加压钢板内固定术 切口感染 关节僵硬 

分 类 号：R683.4[医药卫生—骨科学]