摘要
目的:本研究将对胫骨骨折患者采用两种不同方式进行治疗的疗效进行分析。方法:选取我院2012年10月-2013年10月收治的100例胫骨骨折患者为对象,所有患者在手术过程中给予中药口服治疗,根据患者的意愿将其均分为两组,对照组给予开放复位交锁髓内钉内固定治疗,观察组给予闭合复位交锁髓内钉内固定处理,比较两组患者的疗效以及愈合时间。结果:两组患者骨折整体愈合时间差异不大,对照组2例骨折延迟愈合,拔除远端2枚锁钉变静力型固定为动力型固定后,骨折愈合;对照组1例骨折处伤口感染、2例伤口愈合不良,经对症处理后愈合;观察组无骨折延迟愈合及伤口感染等情况。术后1年两组患者的膝关节HSS评分差异明显,有统计学意义,P<0.05。结论:对于胫骨骨折患者而言,闭合复位交锁髓内钉内固定疗效明显优于开放复位,其创伤较小,且在复位后符合人体力学的标准,可以在临床中进行推广。
Objective： This tibial fracture was treated by two different ways to analyze the efficacy. Methods： A total of 100 cases of tibial fracture were given oral medicine treatment during surgery; the control group was given open reduction and interlocking intramedullary nail treatment; the observation group received treatment within the ifxed closed reduction and interlocking intramedullary nail. Results： In two groups, overall fracture healing time is insigniifcant; in the control group, 2 delayed fracture healing,1 case of fracture wound infection, 2 cases of imperfect wound healing, healing after symptomatic treatment; in the observation group, no delayed fracture healing. HSS score was signiifcantly different,P〈0.05. Conclusion： For tibial fractures, closed reduction and interlocking intramedullary nail were signiifcantly better, can be promoted in clinic.
出处
《中医临床研究》
2016年第16期128-129,共2页
Clinical Journal Of Chinese Medicine
关键词
胫骨骨折
开放复位
闭合复位
交锁髓内钉内固定
Tibial fractures
Open reduction
Closed reduction
Interlocking intramedullary nail ifxation
