摘要
目的比较侧卧位和仰卧位闭合复位髓内钉内固定治疗股骨干骨折的效果。方法选取我院2013年1月~2016年12月收治的股骨干骨折患者82例,回顾性分析其临床资料,按照术中不同体位分为仰卧位组(42例)和侧卧位组(40例),对两组的手术时间、术中出血量、术中透视时间、住院时间和骨折愈合时间等指标进行观察比较。结果侧卧位组的手术时间明显短于仰卧位组,侧卧位组术中出血量明显少于仰卧位组,侧卧位组术后并发症发生率明显低于仰卧位组,差异均有统计学意义(P<0.05);两组的住院时间及骨折愈合时间比较,差异无统计学意义(P>0.05)。随访1年,两组的关节功能优良率比较,差异无统计学意义(P>0.05)。结论在股骨干骨折手术治疗中,于侧卧位下行闭合复位髓内钉固定治疗,具有疗效确切且容易确认进针点、创伤小、术中透视时间短、手术时间较短,适合临床应用。
objective To compare the effect of closed reduction and intramedullary nail fixation in lateral position and supine position in the treatment of femoral shaft fracture.Methods A total of 82 cases of femoral shaft fracture treated in our hospital from January 2013 to December 2016 were retrospectively analyzed.According to different positions during the operation,42 patients with supine position were selected as supine position group,40 cases of lateral lying position were used as lateral position group.The operation time,intraoperative blood loss,intraoperative fluoroscopy time,hospitalization time and fracture healing time were observed and compared between the two groups.Results The operation time of the lateral decubitus position was significantly shorter than that in supine position group,the amount of bleeding was significantly lesser than the lateral decubitus position in supine position group,lateral position group postoperative complication was significantly lower than the supine position group,the differences were statistically significant(P<0.05);time of hospitalization and the lateral decubitus position in supine position group and healing time of fracture,the differences were not statistically significant(P>0.05).1 years of follow-up,compared with two groups of joint function excellent rate,the differences were not statistically significant(P>0.05).Conclusion In the surgical treatment of femoral shaft fracture,closed reduction and intramedullary nailing fixation in lateral decubitus is effective and easy to confirm,with small trauma,short operative time and short operative time,which is suitable for clinical application.
作者
欧荣通
邹仲兵
林伟鹏
OU Rong-tong;ZOU Zhong-bing;LIN Wei-peng(Second Department of Orthopedics,People′s Hospital of Yunfu City,Guangdong Province,Yunfu 527300,China)
出处
《中国当代医药》
2018年第18期68-70,共3页
China Modern Medicine
关键词
股骨干骨折
闭合复位
髓内钉内固定
侧卧位
仰卧位
Femoral shaft fracture
Closed reduction
Intramedullary nail fixation
Lateral position
Supine position
