交锁髓内钉内固定术与钢板内固定术治疗股骨骨折患者的效果比较  

Comparison of effects of interlocking intramedullary nail internal fixation and plate internal fixation in treatment of patients with femoral fractures

作　　者：袁德富 高堃 索福田 YUAN Defu;GAO Kun;SUO Futian(Department of Orthopedics of the General Hospital of Guizhou Shuikuang Holding Group Co.,Ltd.,Liupanshui 553000 Guizhou,China)

机构地区：[1]贵州水矿控股集团有限公司总医院骨科,贵州六盘水553000

出　　处：《中国民康医学》2024年第13期145-148,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:比较交锁髓内钉内固定术与钢板内固定术治疗股骨骨折患者的效果。方法:选取2021年9月至2023年9月该院收治的68例股骨骨折患者进行前瞻性研究,按照随机数字表法将其分为对照组与研究组各34例。对照组采用钢板内固定术治疗,研究组采用交锁髓内钉固定术治疗。比较两组恢复优良率,围术期指标(手术时间、术中出血量、骨折愈合时间、住院时间)水平,手术前后髋关节功能[Harris髋关节功能量表(HHS)]、疼痛程度[视觉模拟评分法(VAS)]、日常生活活动能力[Barthel指数(BI)]评分,以及并发症发生率。结果:研究组恢复优良率为94.12%(32/34),高于对照组的76.47%(26/34),差异有统计学意义(P<0.05);研究组手术时间、骨折愈合时间、住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);术后6个月,研究组HHS、BI评分均高于对照组,差异有统计学意义(P<0.05);术后1、3个月,研究组VAS评分均低于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为5.88%(5/34),低于对照组的26.47%(9/34),差异有统计学意义(P<0.05)。结论:交锁髓内钉内固定术治疗股骨骨折患者可提高恢复优良率、髋关节功能评分和日常生活活动能力评分,改善围术期指标水平,降低疼痛程度评分和并发症发生率,效果优于钢板内固定术治疗。Objective:To compare effects of interlocking intramedullary nail internal fixation and plate internal fixation in treatment of patients with femoral fractures.Methods:A prospective study was conducted on 68 patients with femoral fractures admitted to the hospital from September 2021 to September 2023.According to the random number table method,they were divided into control group and study group,34 cases in each group.The control group was treated with plate internal fixation,while the study group was treated with interlocking intramedullary nail fixation.The excellent and good rate of recovery,the perioperative indicators(operation time,intraoperative blood loss,fracture healing time,hospitalization time) levels,the hip function before and after the surgery [Harris hip scale(HHS)] score,the pain [visual analogue scale(VAS)] score,the activities of daily living [Barthel index(BI)] score,and the incidence of complications were compared between the two groups.Results:The excellent and good rate of recovery in the study group was 94.12%(32/34),which was higher than 76.47%(26/34) in the control group,and the difference was statistically significant(P<0.05).The operation time,the fracture healing time and the hospitalization time of the study group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the differences were statistically significant(P<0.05).6 months after the surgery,the scores of HHS and BI in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).1 and 3 months after the surgery,the VAS scores of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the study group was 5.88%(5/34),which was lower than 26.47%(9/34) in the control group,and the difference was statistically significant(P<0.05).Conclusions:Interlocking intramedullary nail internal fixation for the treatment

关 键 词：交锁髓内钉内固定术 钢板内固定术 股骨骨折 髋关节功能 日常生活活动能力 疼痛 并发症 

分 类 号：R683[医药卫生—骨科学]