摘要
目的探讨交锁髓内钉与外固定支架在四肢骨折中的临床疗效,评价其方式的安全性及稳定性。方法选择我院2009年1月～2010年4月收治的87例四肢骨折的患者,根据患者手术方式的不同,将患者分为交锁髓内固定组(A组)45例,外固定支架组(B组)42例。对两组患者的治疗总有效率、术后愈合时间及术后并发症等指标进行随访观察,对两组各项数据进行统计分析。结果 A组、B组患者术后的总有效率分别为,A组为88.89%(40/45),B组为73.81%(31/42),两组比较有统计学意义(P<0.05);A组患者术后的愈合时间为(105.3±2.4)d,B组愈合时间为(116.6±3.5)d,两组比较差异显著(P<0.05);两组并发症比较无统计学差异(P>0.05)。结论与外固定支架组比较,交锁髓内钉治疗对四肢骨折的治疗效果较为显著,且术后并发症少,同时交锁髓内钉术固定牢靠,愈合率较高,术后愈合时间较短,能显著性的提高固定的稳定性,对促进骨愈合具有积极的意义。
Objective To explore the clinical effect of interlocking intramedullary nail and external fixator applied in the treatment of limb fracture and to evaluate the safety and stability.Methods 87 cases with limb fracture hospitalized from Jan.,2009 to Apr.,2010 were selected and divided into 2 groups： internal fixation group（n=45） and external fixation group（n=42）;follow-up was made to the total effective rates,postoperative healing time and the occurrence of complications of the patients in the 2 groups,and a statistical study was made.Results The total effective rate of patients in internal fixation group was 88.89%（40/45） while that of patients in external fixation group was 73.81%（31/42）,the difference was of statistical significance（P〈0.05）;the average healing time in internal fixation group was（105.3±2.4）days while that in external group was（116.6±3.5）days,the difference between the 2 groups was obvious（P〈0.05）;the comparison of complication occurrence between the 2 groups was of no statistical significance（P〈0.05）.Conclusions Interlocking intramedullary nail applied in the treatment of limb fracture is of better effect than external fixator with shorter healing time,less complications and more stable fixation.
出处
《西南军医》
2011年第6期992-994,共3页
Journal of Military Surgeon in Southwest China
关键词
交锁髓内钉
四肢骨折
外固定支架
治疗
稳定性
interlocking intramedullary nail limb fracture external fixator treatment stability
