摘要
目的比较切开复位交锁髓内钉内固定与闭合复位交锁髓内钉内固定治疗老年股骨干骨折的效果。方法选取2018年3月至2020年6月我院收治的200例老年股骨干骨折患者作为研究对象,根据复位方式的不同将其分为对照组和研究组,各100例。对照组采取切开复位交锁髓内钉内固定治疗,研究组采取闭合复位交锁髓内钉内固定治疗。比较两组的治疗效果。结果研究组的术中出血量少于对照组,住院时间、骨折愈合时间短于对照组,差异具有统计学意义(P<0.05)。术后3个月,研究组的TGF-β1、FGF-2水平高于对照组,差异具有统计学意义(P<0.05)。研究组的术后并发症总发生率为3.00%,低于对照组的11.00%,差异具有统计学意义(P<0.05)。研究组的术后24 h VAS评分低于对照组,差异具有统计学意义(P<0.05)。术后6个月,研究组的Fugl-Meyer、HSS评分高于对照组,差异具有统计学意义(P<0.05)。研究组的治疗总有效率为94.00%,高于对照组的85.00%,差异具有统计学意义(P<0.05)。结论相较于切开复位交锁髓内钉内固定,闭合复位交锁髓内钉内固定治疗老年股骨干骨折患者的效果更佳,可加速骨折愈合,减轻术后疼痛,改善肢体运动功能、膝关节功能,值得临床推广和应用。
Objective To compare the effects of open reduction and interlocking intramedullary nail internal fixation and closed reduction and interlocking intramedullary nail internal fixation in the treatment of femoral shaft fractures in the elderly.Methods A total of 200 elderly patients with femoral shaft fractures treated in our hospital from March2018 to June 2020 were selected as the research objects.The patients were divided into control group and study group according to the different reduction method,with 100 cases in each group.The control group was treated with open reduction and interlocking intramedullary nail internal fixation,and the study group was treated with closed reduction and interlocking intramedullary nail internal fixation.The therapeutic effects of the two groups were compared.Results The amount of intraoperative bleeding in the study group was less than that in the control group,the hospital stay and fracture healing time were shorter than those in the control group,and the differences were statistically significant(P<0.05).Three months after operation,the levels of TGF-β1,FGF-2 in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the study group was 3.00%,which was lower than 11.00% in the control group,and the difference was statistically significant(P<0.05).The VAS score at 24 h after operation of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Six months after operation,the scores of Fugl-Meyer and HSS in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of treatment in the study group was 94.00%,which was higher than 85.00% in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with open reduction and interlocking intramedullary nail internal fixation,closed reduction an
作者
陆定松
李永刚
杨志奎
李鹏
田涛
LU Dingsong;LI Yonggang;YANG Zhikui;LI Peng;TIAN Tao(Xianyang Hospital of Yan'an University,Xianyang 712000,China)
出处
《临床医学研究与实践》
2022年第1期82-85,共4页
Clinical Research and Practice
关键词
切开复位交锁髓内钉内固定
闭合复位交锁髓内钉内固定
股骨干骨折
open reduction and interlocking intramedullary nail internal fixation
closed reduction and interlocking intramedullary nail internal fixation
femoral shaft fractures
