钢板固定与髓内钉固定用于成人下肢长骨慢性骨髓炎治疗的对比研究  

Comparative Study on the Efficacy of Plate Fixation and Intramedullary Nail Fixation in the Treatment of Chronic Osteomyelitis of the Long Bones of the Adult Lower Limbs Using the Masquelet Technique

作　　者：吕士金 孙意红 于莉芝 LYU Shijin;SUN Yihong;YU Lizhi(Liaocheng Infectious Disease Hospital,Liaocheng,Shandong Province,252027 China)

机构地区：[1]聊城市传染病医院,山东聊城252027

出　　处：《世界复合医学》2024年第3期29-32,共4页World Journal of Complex Medicine

摘　　要：目的比较钢板固定与髓内钉固定用于Masquelet技术治疗成人下肢长骨慢性骨髓炎的疗效。方法随机选取2022年1—6月聊城市传染病医院收治的60例成人下肢长骨慢性骨髓炎患者作为研究对象,根据Masquelet技术中第二期诱导膜内植骨固定方式的不同,将其分为髓内钉固定组(n=30)与钢板固定组(n=30)。对比两组患者的相关指标。结果髓内钉固定组愈合时间及负重时间短于钢板固定组,差异有统计学意义(P均<0.05)。髓内钉固定组并发症总发生率为3.33%,低于钢板固定组的10.00%,但差异无统计学意义(P>0.05)。治疗前,两组患者生活质量水平对比,差异无统计学意义(P>0.05);治疗后,髓内钉固定组生活质量水平高于钢板固定组,差异有统计学意义(P<0.05)。结论与钢板固定相比,髓内钉固定有助于提高成人下肢长骨慢性骨髓炎患者生活质量水平,促进患者术后恢复,临床疗效显著。Objective To compare the efficacy of plate fixation and intramedullary nail fixation in the treatment of chronic osteomyelitis of the long bones of the adult lower limbs using the Masquelet technique.Methods A total of 60 adult patients with chronic osteomyelitis of long bones of lower limbs treated in Liaocheng Infectious Disease Hospital from January to June 2022 were randomly selected as the research objects.According to different methods of second-stage intramedullage bone grafting induced by Masquelet,these patients were divided into intramedullage nailing group(n=30)and plate fixing group(n=30).The relevant indexes of the two groups were compared.Results The healing time and weight-bearing time of intramedullary nail fixation group were shorter than those of plate fixation group,and the differences were statistically significant(both P<0.05).The total complication rate of intramedullary nail fixation group was 3.33%,lower than that of plate fixation group(10.00%),and the difference was not statistically significant(P>0.05).Before treatment,the quality of life levels of patients in the two groups were compared,and the difference was not statistically significant(P>0.05).After treatment,the quality of life level in the intramedullary nail fixation group was higher than that in the plate fixation group,and the difference was statistically significant(P<0.05).Conclusion Compared with plate fixing group,intramedullary nail fixation helps improve chronic osteomyelitis of adult lower limb long bones patients'quality of life and promotes postoperative recovery.It has significant clinical effects.

关 键 词：钢板固定 Masquelet技术 髓内钉固定 成人下肢长骨慢性骨髓炎 

分 类 号：R687.3[医药卫生—骨科学]