胫骨骨折髓内针术后骨不愈合的影响因素  

Influencing factors of bone nonunion after intramedullary needle operation for tibial fracture

作　　者：陈少伟 李文波 石杰 杨伟铎 张玉祥 王扶卉 高秋明 CHEN Shao-wei;LI Wen-bo;SHI Jie;YANG Wei-duo;ZHANG Yu-xiang;WANG Fu-hui;GAO Qiu-ming(Department of Orthopedics,940th Hospital,Joint Logistics Support Force of Chinese People's Liberation Army,Lanzhou Gansu 730050,China;School of Clinical Medicine,Ningxia Medical University,Yinchuan Ningxia 750004,China;Department of Endocrinology,the First Hospital of Northwest University,Xi'an Shaanxi 710000,China)

机构地区：[1]中国人民解放军联勤保障部队第九四〇医院创伤骨科,甘肃兰州730050 [2]宁夏医科大学临床医学院,宁夏银川750004 [3]西北大学第一医院内分泌科,陕西西安710000

出　　处：《局解手术学杂志》2024年第10期927-930,共4页Journal of Regional Anatomy and Operative Surgery

基　　金：甘肃省自然科学基金(21JR11RA001);甘肃省临床医学研究中心建设(21JR7RA016)。

摘　　要：髓内针(IMN)治疗胫骨骨折具有愈合率高、并发症发生率低等优点,已成为治疗胫骨骨折最常用的固定方式之一。但受患者自身因素、骨折部位及骨折类型、感染和手术治疗方式等因素的影响,IMN术后骨不愈合在临床中仍有发生。骨不愈合导致患者的医疗费用增加,住院时间延长,给患者造成了巨大的痛苦,同时也给骨科医生的治疗带来了巨大挑战。因此,本文对胫骨骨折IMN术后骨不愈合的影响因素作一综述,以期为临床治疗提供参考。Intramedullary needle(IMN)has the advantages of high healing rate and low incidence of complications in treatment of tibial fracture,and has become one of the most commonly used fixation methods for the treatment of tibial fracture.However,due to the patient's own factors,fracture location and fracture type,infection and surgical treatment,bone nonunion after IMN still occurs in clinic.Bone nonunion leads to the increase of medical cost and prolonged the hospitalization time of patients,which causes great pain to patients,and also brings great challenges to the treatment of orthopedic surgeons.Therefore,this paper reviews the influencing factors of bone nonunion after IMN for tibial fracture,in order to provide reference for clinical treatment.

关 键 词：骨不愈合 胫骨骨折 髓内针骨折固定术 影响因素 综述 

分 类 号：R683.42[医药卫生—骨科学]