髓内钉内固定技术在四肢长管骨创伤骨折治疗中的价值  

Application of intramedullary nail fixation in treatment of long bone trauma fracture of extremities

作　　者：李辉 张琨 陈元庆 LI Hui;ZHANG Kun;CHEN Yuan-qing(Department of Orthopedics,Henan Shenhuo Group General Hospital,Yongcheng,Henan 476600,China)

机构地区：[1]河南神火集团总医院骨科,河南永城476600

出　　处：《医药论坛杂志》2024年第9期974-977,共4页Journal of Medical Forum

摘　　要：目的 在四肢长管骨创伤骨折患者的治疗中应用髓内钉内固定技术并分析治疗的效果。方法 视四肢长管骨创伤骨折患者为研究主体,选取河南神火集团总医院2017年2月至2021年2月收治的104例患者,随机数字表法分为两组各52例。对照组采用钢板螺钉内固定治疗,研究组采用髓内钉内固定技术治疗。比较两组临床效果、手术康复情况、骨代谢水平以及炎性因子状态。结果 研究组术后优良率为82.69%高于对照组69.23%(P<0.05);研究组手术时间、出血含量、手术切口长度、骨折痊愈用时低于对照组(P<0.05);两组治疗后骨代谢水平得到改善;研究组PICP及BGP水平高于对照组(P<0.05)。同组的治疗前后相比,CRP、TNF-α、IL-1三项指标均下降,组间相比仅在治疗后差异显著(P<0.05)。结论 对于四肢长管骨创伤骨折的临床治疗,可优先考虑使用髓内钉内固定技术,以此获得更理想的治疗效果,手术创伤更小,有助于改善患者骨代谢水平,降低炎性因子水平,值得推广应用。Objective The application of intramedullary nailing in treatment of traumatic fracture of long bone in limbs and the effect of treatment were analyzed.Methods Totally 104 patients with long bone trauma fractures in the limbs from February 2017 to February 2021 were selected as the study subjects,and randomly divided into two groups with 52 patients in each group.The control group was treated with steel plate and screw internal fixation,while the study group was treated with intramedullary nail fixation technology.Compare the clinical efficacy,surgical recovery,bone metabolism level,and inflammatory factor status between the two groups.Results The excellent and good rate reflected the curative effect,the observation group(82.69%)was better than that of the control group(69.23%),the difference was statistically significant(P<0.05);The operation time,bleeding content,length of surgical incision,and time of fracture healing in the study group were lower than those in the control group(P<0.05);After treatment,bone metabolism levels improved in both groups;The levels of PICP and BGP in the study group were higher than those in the control group(P<0.05).The levels of CRP,TNF-α and IL-1 were decreased in the same group before and after treatment,but the difference between the two groups was significant after treatment(P<0.05).Conclusion Intramedullary nail fixation technology can improve the treatment effect of patients with long bone trauma fractures in the limbs,reduce surgical trauma,improve bone metabolism levels,and reduce inflammatory factor levels,which is worth promoting and applying.

关 键 词：四肢长管骨创伤骨折 髓内钉内固定 优良率 炎性状态 

分 类 号：R687.33[医药卫生—骨科学]