B超引导结合正骨手法在胫骨骨折闭合复位髓内固定术中的临床效果  

Effect of B-ultrasound Guidance Combined with Bone-setting Manipulation in Close Reduction and Intramedullary Fixation of Tibial Fracture

作　　者：向小龙 尹玮 XIANG Xiaolong;YIN Wei(Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学,重庆400016 [2]重庆中医药学院附属垫江医院骨四科,重庆408300

出　　处：《中国医学创新》2025年第7期52-56,共5页Medical Innovation of China

摘　　要：目的:观察B超引导结合正骨手法复位在胫骨骨折闭合复位髓内固定术中的效果及安全性。方法:将重庆中医药学院附属垫江医院骨四科2022年6月—2023年6月收治的胫骨骨折患者60例以随机数字表法分为两组,试验组和对照组各30例。对照组采用常规胫骨骨折闭合复位髓内钉内固定术,试验组采用B超引导结合正骨手法进行闭合复位髓内钉固定术。比较两组手术时间、术中出血量、术中C臂机透视次数、住院时间、术后3个月功能康复优良率、术后并发症发生情况。结果:试验组术中出血量、透视次数均少于对照组,手术时间短于对照组,差异均有统计学意义(P<0.05)。两组住院时间比较,差异无统计学意义(P>0.05)。试验组优良率高于对照组,差异有统计学意义(P<0.05)。两组术后并发症发生率比较(3.33%vs 6.67%),差异无统计学意义(P>0.05)。结论:B超引导结合正骨手法在胫骨骨折闭合复位髓内钉术中具有手术时间短、术中出血少、术中透视次数少、术后功能康复快等优势。Objective:To observe the effect and safety of B-ultrasound guidance combined with bonesetting manipulation in close reduction and intramedullary fixation of tibial fracture.Method:A total of 60 patients with tibial fracture admitted to the Department of OrthopedicsⅣ,Dianjiang Hospital Affiliated to Chongqing University of Traditional Chinese Medicine from June 2022 to June 2023 were divided into two groups by random number table method,with 30 cases in the experimental group and 30 cases in the control group.The control group was treated with conventional close reduction and intramedullary fixation of tibial fracture,and the experimental group was treated with B-ultrasound guidance combined with bone-setting manipulation for close reduction and intramedullary fixation.The operation time,intraoperative blood loss,intraoperative C-arm fluoroscopy times,hospital stay,excellent and good rate of functional recovery 3 months after surgery and postoperative complications were compared between the two groups.Result:The intraoperative blood loss and fluoroscopy times of experimental group were less than those of control group,and the operation time was shorter than that of control group,the differences were statistically significant(P<0.05).There was no significant difference in hospital stay between the two groups(P>0.05).The excellent and good rate of experimental group was higher than that of control group,the difference was statistically significant(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(3.33%vs 6.67%)(P>0.05).Conclusion:B-ultrasound guidance combined with bone-setting manipulation has the advantages of short operation time,less intraoperative bleeding,less intraoperative fluoroscopy times and faster postoperative functional recovery in close reduction and intramedullary fixation of tibial fracture.

关 键 词：B超 正骨手法 胫骨骨折 闭合复位 

分 类 号：R687.3[医药卫生—骨科学]