摘要
目的:探讨桥接组合系统对学龄期儿童股骨干骨折的运用效果。方法:选择我院2019年1月至2022年1月收治的85例股骨干骨折儿童患者进行探讨,通过随机数字表采用简单随机的方法将其分为研究组43例与对照组42例,对照组采取锁定加压钢板固定,研究组采用桥接组合系统治疗。比较两组手术资料、骨折愈合时间、并发症情况,采用Johner-Wruh功能评价标准评估两组术后6个月肢体功能情况。结果:两组患儿切口长度比较,差异无统计学意义(P>0.05),但研究组手术时间、出血量、术后引流量均小于对照组(P<0.05),研究组骨折愈合时间短于对照组,并发症发生率低于对照组(P<0.05),研究组患儿Johner-Wruh功能优率为88.37%,高于对照组的47.62%(P<0.05)。结论:桥接组合固定系统治疗学龄期儿童股骨干骨折效果明显,患儿骨折愈合时间短,并发症少见,对术后肢体功能恢复也有积极的作用,具有较高的应用价值。
Objective:To investigate the effect of bridging combination system on femoral shaft fractures in school-age children.Methods:A total of 85 pediatric patients with femoral shaft fracture admitted to our hospital from January 2019 to January 2022 were selected for study.By random number table,they were divided into study group(43 cases)and control group(42 cases)by simple random method.The control group was treated with locking compression plate fixation and the study group was treated with a bridging combination system.The surgical data,fracture healing time and complications of the two groups were compared.The Johner-Wruh functional evaluation criteria were used to evaluate the limb function of the two groups 6 months after surgery.Results:There was no significant difference in incision length between the two groups(P>0.05),but the operation time,blood loss and postoperative drainage volume of the study group were significantly less than that of the control group(P<0.05),the fracture healing time of the study group was shorter than that of the control group,and the incidence of complications was lower than that of the control group(P<0.05).The optimal rate of Johner-Wruh function in the study group was 88.37%,which was higher than 47.62% in the control group(P<0.05).Conclusion:The bridging combination fixation system has obvious effect in the treatment of femoral shaft fractures in school-age children,with short healing time and rare complications.It also has a positive effect on postoperative limb function recovery and has high application value.
作者
年争好
张中礼
孙军
唐淼
许康永
刘长征
NIAN Zhenghao(Suzhou Hospital Affiliated to Anhui Medical University,Anhui Suzhou 234000,China)
出处
《河北医学》
CAS
2023年第5期799-802,共4页
Hebei Medicine
基金
国家自然科学基金项目,(编号:U19A2057)。
关键词
桥接组合系统
学龄期儿童
股骨干骨折
肢体功能
加压钢板固定
Bridging combination system
School-age children
Femoral shaft fracture
Limb function
Compression plate fixation
