带锁髓内钉术治疗股骨创伤骨折骨不连患者的临床效果  

Clinical Effect of Interlocking Intramedullary Nailing in Treatment of Nonunion Patients with Femoral Trauma Fractures

作　　者：何嘉[1] 孟庆飞[1] 王照平[1] 杨亚军[1] 冯志永[1] 刘丹[1] He Jia;Meng Qing-fei;Wang Zhao-ping;Yang Ya-jun;Feng Zhi-yong;Liu Dan(Department of Orthopedics,Fengrun District People's Hospital of Tangshan City,Tangshan 064000,Hebei Province,China)

机构地区：[1]河北省唐山市丰润区人民医院骨科,河北唐山064000

出　　处：《中外医药研究》2022年第3期51-53,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析带锁髓内钉术治疗股骨创伤骨折骨不连患者的临床安全性。方法:选取2020年4月-2022年4月在河北省唐山市丰润区人民医院骨科接受治疗的股骨创伤骨折骨不连患者100例为观察对象,使用随机数表法将其平均分为对照组与观察组,各50例。对照组给予加压钢板的常规治疗,观察组在对照组基础上给予带锁髓内钉术治疗,对二者的临床疗效、手术指标、并发症发生率和髋关节治疗前后的功能进行比较。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05);观察组手术时间、切口长度、术中出血量、骨折愈合时间优于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组髋关节功能评分优于对照组,差异有统计学意义(P<0.05)。结论:对股骨创伤骨折骨不连患者采取带锁髓内钉术治疗,有利于股骨创伤骨折骨不连患者病情康复,降低并发症发生率,提高患者生活质量。Objective: To analyze the clinical safety of interlocking intramedullary nailing in the treatment of nonunion patients with femoral trauma fractures. Methods: A total of 100 patients with nonunion of femoral trauma fractures who received treatment in the Department of Orthopedics, Fengrun District People′s Hospital of Tangshan City in Hebei Province from April 2020 to April 2022 were selected as the observation objects, and they were divided into the control group and the observation group by the random number table method, with 50 cases in each group. The control group was given conventional treatment with compression plate, and the observation group was given interlocking intramedullary nailing on the basis of the control group. The clinical efficacy, surgical index, complication rate and function of hip joint before and after treatment were compared in two groups. Results: The total effective rate of treatment in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). The operation time, incision length, intraoperative blood loss and fracture healing time of the observation group were better than those of the control group, and the differences were statistically significant (P<0.05). The incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05). After treatment, the hip joint function score of the observation group was better than that of the control group, and the difference was statistically significant (P<0.05). Conclusion: Interlocking intramedullary nailing for nonunion patients with femoral trauma fractures is beneficial to the recovery of patients with nonunion of femoral trauma fractures, it reduces the incidence of complications and improves the quality of life of patients.

关 键 词：带锁髓内钉术 股骨创伤骨折 骨不连 安全性 

分 类 号：R68[医药卫生—骨科学]