摘要
目的:文章旨在深入分析超声引导下配合中医正骨手法闭合复位交锁髓内钉内固定治疗成人股骨干骨折的有效性与安全性,整理该方法的优点与操作过程的注意事项。方法:选择符合标准的40例股骨干骨折患者。试验组患者在超声引导下配合中医正骨手法闭合复位及导针置入行交锁髓内钉内固定手术。对照组患者则在C臂机透视引导下配合中医正骨手法行骨折闭合复位及导针置入行交锁髓内钉内固定手术。比较两个组别的复位时间等多项指标。结果:试验组复位时间、出血量、C臂透视次数均小于另一组别,差异具备显著性(P<0.05)。两个组别的愈合时间、并发症以及成功率方面的区别较小,无显著性(P>0.05)。结论:该治疗方案能动态且直观地监测骨折复位情况,缩短手术时间,减少术中出血及医患的放射暴露损伤,临床效果显著,值得推广应用。
Objective:This article aims to conduct an in-depth analysis of the effectiveness and safety of closed reduction and interlocking intramedullary nail internal fixation under ultrasound guidance combined with traditional Chinese medicine bone-setting techniques in the treatment of adult femoral shaft fractures,and to sort out the advantages of this method and the precautions during the operation.Methods:Forty patients with femoral shaft fractures who met the criteria were selected.Patients in the experimental group underwent interlocking intramedullary nail internal fixation surgery under ultrasound guidance with closed reduction and guide pin placement using traditional Chinese medicine bone-setting techniques.The patients in the control group underwent closed reduction of fractures and insertion of guide pins for interlocking intramedullary nail internal fixation under the guidance of C-arm machine fluoroscopy and combined with traditional Chinese medicine bone-setting techniques.Compare the reset time and other indicators of the two groups.Results:The reduction time,bleeding volume,and number of C-arm fluoroscopy in the experimental group were all shorter than those in the other group,and the difference was significant(P<0.05).The differences in healing time,complications and success rates between the two groups were small and not significant(P>0.05).Conclusion:This treatment plan can dynamically and intuitively monitor fracture reduction,shorten operation time,reduce intraoperative bleeding and radiation exposure damage to doctors and patients.It has significant clinical effects and is worthy of promotion and application.
作者
林江游
吴天然
陈夏平
王瑞雄
叶志强
LIN Jiangyou;WU Tianran;CHEN Xiaping;WANG Ruixiong;YE Zhiqiang(Quanzhou Orthopedic Hospital,Fujian Quanzhou 362000,China)
出处
《中医药临床杂志》
2024年第12期2410-2414,共5页
Clinical Journal of Traditional Chinese Medicine
基金
福建中医药大学校管临床专项资助(XB2022104)。
关键词
超声监视
交锁髓内钉
股骨干骨折
临床应用
Ultrasound surveillance
Interlocking intramedullary nail
Femoral shaft fracture
Clinical application
