摘要
目的:比较交锁髓内钉内固定术和钢板内固定术治疗长骨干骨折效果。方法:回顾性分析78例长骨干骨折患者的临床资料。按手术方法将其分为观察组(44例,应用交锁髓内钉内固定术治疗)、对照组(34例,应用钢板内固定治疗)。随访半年,对比两组患者的疗效、住院时间、骨折愈合时间、术后3 d视觉模拟评分法(VAS)评分、运动功能评分、日常生活活动能力评分及并发症发生率。结果:观察组治疗优良率(93.2%)明显高于对照组(76.5%),差异有统计学意义(P<0.05);观察组患者住院时间、骨折愈合时间均短于对照组,且术后3天VAS评分低于对照组,差异有统计学意义(P<0.05);观察组术后半年运动功能评分及日常生活活动能力评分均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为2.3%,低于对照组的17.7%,差异有统计学意义(P<0.05)。结论:对长骨干骨折患者实施交锁髓内钉内固定术治疗的效果更优,有助于减轻术后疼痛,且术后骨折愈合周期更短。
Objective: To compare effects of interlocking intramedullary nail fixation and plate internal fixation in treatment of long bone shaft fractures. Methods: The clinical data of 78 patients with long bone shaft fractures were retrospectively analyzed. According to the surgical method, they were divided into observation group(44 cases, treated with interlocking intramedullary nail internal fixation) and control group(34 cases, treated with plate internal fixation). They were followed up for six months. Then, the efficacy, hospitalization time, fracture healing time, postoperative 3-day visual analog scale(VAS) score, motor function score, score of activities of daily living and complication rate were compared between the two groups. Results: The excellent and good rate of treatment in the observation group(93.2%) was significantly higher than that in the control group(76.5%), and the difference was statistically significant(P<0.05). The hospitalization time and fracture healing time of the observation group were shorter than those of the control group, the VAS score was lower than that of the control group 3 days after the surgery, and the differences were statistically significant(P<0.05). The motor function score and the score of activities of daily living in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). The incidence of complications in the observation group was 2.3%, which was lower than that in the control group(17.7%), and the difference was statistically significant(P<0.05). Conclusions: The interlocking intramedullary nail fixation in the treatment of long bone shaft fractures has better effects. It can help reduce the postoperative pain and shorten the postoperative fracture healing period.
作者
贾洪颖
JIA Hongying(The First People’s Hospital of Heishan County,Jinzhou 121400 Liaoning,China)
出处
《中国民康医学》
2019年第21期13-15,共3页
Medical Journal of Chinese People’s Health
关键词
长骨干骨折
交锁髓内钉内固定术
钢板内固定治疗术
VAS评分
运动功能
Long bone shaft fracture
Interlocking intramedullary nail fixation
Plate internal fixation
VAS score
Motor function
