摘要
目的分析下肢长骨骨折患者应用带锁髓内钉内固定治疗的效果。方法2014年1月—2018年12月在该院接受长骨骨折治疗的患者中进行随机抽取研究对象,该研究纳入对象共计60例,应用随机抽签法进行分组,比照组(n=30)患者应用钢板内固定治疗,探析组(n=30)患者应用带锁髓内钉固定治疗,观察和比较两组患者骨折愈合情况、骨折愈合时间与术后并发症情况。结果探析组患者治疗优良率为96.67%,明显高于比照组患者的83.33%,2组患者临床疗效差异有统计学意义(χ^2=11.273 4,P<0.05)。探析组患者骨折愈合时间为(8.0±2.4)个月,比照组患者骨折愈合时间为(12.3±2.3)个月,两组患者骨折愈合时间差异有统计学意义(t=10.264 2,P=0.001 2)。探析组术后出现并发症患者共计4例,总发生率为13.33%,明显低于比照组患者并发症总发生率30.00%,比照组术后出现并发症患者共计9例,2组术后并发症总发生率差异有统计学意义(χ^2=12.593 8,P=0.019 3)。结论下肢长骨骨折患者应用带锁髓内钉内固定治疗能够促进其骨折愈并可加快其下肢功能恢复,可显著缩短其骨折愈合时间并提高治疗安全性,有助于缓解病痛给其身心带来的不适感,可为其正常生活提供方便。
Objective To analyze the effect of intramedullary nailing in patients with long bone fractures of the lower extremities. Methods From January 2014 to December 2018, we randomly selected patients who underwent long bone fracture treatment in our hospital. A total of 60 patients were enrolled in the study. The patients were randomly divided into two groups. The contaol group (n=30) was used in the steel plate fixed treatment, the patients in the probing group (n=30) were treated with interlocking intramedullary nailing. The fracture healing, fracture healing time and postoperative complications were observed and compared between the two groups. Results The excellent and good rate of treatment in the analysis group was 96.67%, which was significantly higher than that in the control group(83.33%). The clinical efficacy of the two groups was statistically significant (χ^2=11.273 4,P<0.05). The fracture healing time of the patients in the analysis group was (8.0±2.4) months, and the fracture healing time of the patients in the comparison group was(12.3±2.3) months. The difference of fracture healing time between the two groups was statistically significant(t=10.264 2, P=0.001 2). There were 4 patients with postoperative complications in the analysis group, the total incidence rate was 13.33%, which was significantly lower than the total incidence of complications in the comparison group(30.00%). There were 9 patients with complications after the operation in the comparison group. The difference in the overall incidence of the disease was statistically significant (χ^2=12.593 8, P=0.019 3). Conclusion The application of interlocking intramedullary nailing in patients with long bone fractures can promote the fracture and accelerate the recovery of lower limb function. It can significantly shorten the fracture healing time and improve the safety of treatment, and help relieve the discomfort of pain and bring it to the body and mind, which can provide convenience for normal life.
作者
谈俊
TAN Jun(Department of Orthopaedics,Yixing People's Hospital,Yixing,Jiangsu Province,214200 China)
出处
《中外医疗》
2019年第18期38-40,共3页
China & Foreign Medical Treatment
关键词
带锁髓内钉
固定治疗
下肢长骨骨折
临床疗效
Interlocking intramedullary nail
Fixed treatment
Lower limb long bone fracture
Clinical effect
