胫骨髓内钉和锁定接骨板治疗胫骨干骨折的疗效比较  

Comparison of curative effect of tibial intramedullary nail and locking proximal humerus plate in treatment of tibial shaft fracture

作　　者：汪步兴 WANG Bu-xing(Department of Orthopedics and Traumatology,Shuyang Hospital of Traditional Chinese Medicine,Suqian 223600,China)

机构地区：[1]沭阳县中医院骨伤科,223600

出　　处：《中国实用医药》2024年第22期57-60,共4页China Practical Medicine

摘　　要：目的 比较胫骨干骨折患者采用胫骨髓内钉和锁定接骨板治疗的临床价值。方法 选择60例胫骨干骨折患者为研究对象,按照数字表随机排序分组的方式分为对照组(30例,接受锁定接骨板治疗)和观察组(30例,接受胫骨髓内钉治疗)。对比两组手术指标(手术时间、术中出血量、骨折愈合时间、住院时间),术后关节功能恢复情况[特种外科医院(HSS)膝关节评分、美国骨科足踝协会(AOFAS)踝与后足功能评分]及术后并发症发生情况。结果 观察组手术时间、骨折愈合时间、住院时间分别为(71.45±6.58)min、(4.25±0.57)个月、(11.05±1.85)d,均短于对照组的(84.35±7.14)min、(5.57±0.45)个月、(13.45±1.58)d,术中出血量为(95.83±24.44)ml,少于对照组的(126.83±21.12)ml(P<0.05)。术后1个月,观察组HSS膝关节评分、功能评分、疼痛评分、对线评分分别为(88.83±1.93)、(44.23±1.36)、(35.56±1.74)、(7.04±0.18)分,均高于对照组的(80.04±1.51)、(38.83±1.46)、(30.74±1.58)、(5.86±0.26)分(P<0.05)。观察组并发症发生率10.00%低于对照组的33.33%(P<0.05)。结论 相比锁定接骨板治疗,胫骨干骨折患者在治疗过程中接受胫骨髓内钉治疗的术中创伤小,有助于患者术后迅速恢复各方面功能,且能降低术后并发症发生率。Objective To compare the clinical value of tibial intramedullary nail and locking proximal humerus plate in treatment of tibial shaft fracture.Methods 60 patients with tibial shaft fracture were selected as subjects,and were divided into the control group(30 cases,treated by locking proximal humerus plate)and the observation group(30 cases,treated by tibial intramedullary nail) according to the random numerical table.Both groups were compared in terms of surgical indicators(operation time,intraoperative blood loss,fracture healing time,duration of hospitalization),postoperative joint function recovery [Hospital for Special Surgery(HSS)] knee score,American Orthopaedic Foot & Ankle Society(AOFAS) ankle hindfoot score),and postoperative complications.Results The operation time,fracture healing time and duration of hospitalization were(71.45±6.58) min,(4.25±0.57) months and(11.05±1.85) d in the observation group,which were shorter than(84.35±7.14) min,(5.57±0.45) months and(13.45±1.58) d in the control group;the intraoperative blood loss of(95.83±24.44) ml in the observation group was less than(126.83±21.12) ml in the control group(P<0.05).1 month after surgery,the HSS knee joint score,functional score,pain score and alignment score of the observation group were(88.83±1.93),(44.23±1.36),(35.56±1.74) and(7.04±0.18) points,which were higher than(80.04±1.51),(38.83±1.46),(30.74±1.58) and(5.86±0.26) points of the control group(P<0.05).The complication rate of 10.00% in the observation group was lower than 33.33% in the control group(P<0.05).Conclusion In the treatment of patients with tibial shaft fracture,the treatment of tibial intramedullary nail is less traumatic,which is conducive to the rapid postoperative recovery of all aspects of function and reduce the incidence of postoperative complications.

关 键 词：胫骨髓内钉 锁定接骨板 胫骨干骨折 关节功能 

分 类 号：R687.3[医药卫生—骨科学]