摘要
目的探讨不同内固定方法治疗前臂骨折的临床效果。方法76例前臂骨折患者随机分为弹性髓内钉组和钢板组，每组38例。两组均采用切开复位内固定手术治疗，弹性髓内钉组采用弹性髓内钉进行内固定，钢板组采用钢板内固定。治疗结束后，比较两组患肢肿胀程度、视觉模拟评分法（VAS）疼痛平均评分及患侧前臂旋转功能。结果治疗后，弹性髓内钉组患肢肿胀程度、VAS疼痛平均评分、患侧前臂旋转功能均优于钢板组，两者比较差异有统计学意义（P〈0．05）。结论切开复位弹性髓内钉内固定术治疗前臂骨折患者效果显著，可有效促进患侧前臂旋转功能的恢复。
Objective To investigate the clinical effects of different internal fixation methods on forearm fractures. Methods Seventy-six patients with forearm fracture were randomly divided into elas- tic intramcdullary nail group and plate group, with 38 cases in each group. Two groups were treated by open reduction and internal fixation operation, while the elastic intramedullary nail group underwent elas- tic intramedullary nail fixation, the plate group underwenet steel plate internal fixation after treatment. After treatment, the swelling degree of the affected limb, the average pain score of visual analogue scale （VAS）, and the forearm rotation function of affected side were compared between the two groups. Results After treatment, the swelling degree of the affected limb, the average pain score of VAS and the forearm rotation function of affected side in elastic intramedullary nail group were better than those in plate group, the differences were statistically significant （ all P 〈 0.05 ）. Conclusions Open reduction with elastic intramedullary nail fixation has significant effect on patients with forearm fracture, and can ef- fectively promote the recovery of forearm rotation function of affected side.
出处
《中国实用医刊》
2017年第23期56-57,共2页
Chinese Journal of Practical Medicine
关键词
内固定
前臂骨折
手术
疗效对比
Internal fixation
Forearm fracture
Surgery
Effect contrast
