带锁髓内钉内固定术治疗四肢骨创伤骨折患者的临床有效性分析  

Effectiveness Analysis of Internal Fixation with Interlocking Intramedullary Nailing in the Treatment of Patients with Traumatic Fractures of the Limbs

作　　者：高鑫[1] GAO Xin(Department of Orthopedics,Tianjin Beichen Hospital,Tianjin 300400,China)

机构地区：[1]天津市北辰医院骨科,天津300400

出　　处：《中国伤残医学》2024年第14期57-60,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析四肢骨创伤骨折患者应用带锁髓内钉内固定术治疗的有效性。方法:回顾性分析2020年1月—2023年12月天津市北辰医院收治的80例四肢骨创伤骨折患者资料,根据治疗方式不同将其分为对照组和研究组,各40例。对照组采用锁定加压钢板内固定术治疗,研究组采用带锁髓内钉内固定术治疗。比较两组治疗效果、临床指标、疼痛程度、患肢功能、日常生活活动情况及骨代谢情况。结果:术后3个月,研究组治疗总有效率为97.50%,高于对照组的80.00%,差异有统计学意义(P<0.05)。研究组手术时间及住院时长均短于对照组,差异均有统计学意义(P<0.05)。术后第7天,研究组疼痛程度低于对照组,差异有统计学意义(P<0.05)。术后3个月,研究组的患肢功能评分及日常生活活动情况评分均高于对照组,差异均有统计学意义(P<0.05)。术后1个月,研究组血清碱性磷酸酶、骨保护素、骨钙素及表皮生长因子含量水平均高于对照组,差异均有统计学意义(P<0.05)。结论:带锁髓内钉内固定术在治疗四肢骨创伤骨折患者中可以提高治疗总有效率,减少手术用时及住院时长,减轻患者疼痛程度,有效促进患肢功能及骨代谢情况改善,利于患者恢复日常生活活动能力。Objective:To analyze the effectiveness of internal fixation with interlocking intramedullary nailing in the treatment of patients with traumatic fractures of the limbs.Methods:Data of 80 patients’with traumatic fractures of the limbs treated in Tianjin Beicchen Hospital from January 2020 to December 2023 were retrospectively analyzed.They were divided into a control group and a study group according to different treatment methods,with 40 cases in each group.The control group was treated with locking compression plate internal fixation and the study group was treated interlocking intramedullary internal fixation nailing.The therapeutic effect,clinical indexes,pain degree,function of affected limb,activities of daily living and bone metabolism were compared between the two groups.Results:Three months after operation,the total effective rate of the study group was 97.50%,which was higher than 80.00%of the control group,the difference was statistically significant(P<0.05).The operation time and hospital stay of the study group were shorter than those of the control group,the differences were statistically significant(P<0.05).On the seventh day after operation,the pain degree of the study group was lower than that of the control group,the difference was statistically significant(P<0.05).Three months after surgery,the functional scores of affected limbs and the scores of daily living activities of the study group were higher than those of the control group,the differences were statistically significant(P<0.05).One month after surgery,the serum levels of alkaline phosphatase,osteoprotectin,osteocalcin and epidermal growth factor in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Internal fixation with interlocking intramedullary nailing in the treatment of patients with traumatic fractures of the limbs can improve the total effective rate of treatment,reduce the time of operation and length of hospital stay,reduce the degree of pain of patie

关 键 词：四肢骨创伤骨折 带锁髓内钉内固定术 代谢 

分 类 号：R683[医药卫生—骨科学]