中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2010年
14期
11-13
,共3页
胫骨骨折%外固定器%交锁髓内钉
脛骨骨摺%外固定器%交鎖髓內釘
경골골절%외고정기%교쇄수내정
Tibial fractures%External fixators%Interlocking intramedullary nail
目的 比较外固定支架、延期交锁髓内钉两种固定方法治疗开放性胫腓骨骨折的疗效.方法 对86例开放性胫腓骨骨折患者采用不同治疗方法,36例采用单侧外固定支架治疗(外固定支架组),50例采用延期交锁髓内钉固定治疗(延期交锁髓内钉组).按吴岳嵩和徐伯诚制定标准结合Johner-Wruh评分评定标准对两组疗效进行比较.结果 所有患者随访6～24个月,平均(16.0±2.4)个月.外固定支架组优良率80.6%(29/36),延期交锁髓内钉组优良率88.0%(44/50),两组优良率比较差异无统计学意义(Z=-1.103,P＞0.05).结论 对开放性胫腓骨骨折患者而言,延期应用交锁髓内钉固定可被认为是一种有效的方法,同外固定支架一起,作为重要的治疗选择.
目的 比較外固定支架、延期交鎖髓內釘兩種固定方法治療開放性脛腓骨骨摺的療效.方法 對86例開放性脛腓骨骨摺患者採用不同治療方法,36例採用單側外固定支架治療(外固定支架組),50例採用延期交鎖髓內釘固定治療(延期交鎖髓內釘組).按吳嶽嵩和徐伯誠製定標準結閤Johner-Wruh評分評定標準對兩組療效進行比較.結果 所有患者隨訪6～24箇月,平均(16.0±2.4)箇月.外固定支架組優良率80.6%(29/36),延期交鎖髓內釘組優良率88.0%(44/50),兩組優良率比較差異無統計學意義(Z=-1.103,P＞0.05).結論 對開放性脛腓骨骨摺患者而言,延期應用交鎖髓內釘固定可被認為是一種有效的方法,同外固定支架一起,作為重要的治療選擇.
목적 비교외고정지가、연기교쇄수내정량충고정방법치료개방성경비골골절적료효.방법 대86례개방성경비골골절환자채용불동치료방법,36례채용단측외고정지가치료(외고정지가조),50례채용연기교쇄수내정고정치료(연기교쇄수내정조).안오악숭화서백성제정표준결합Johner-Wruh평분평정표준대량조료효진행비교.결과 소유환자수방6～24개월,평균(16.0±2.4)개월.외고정지가조우량솔80.6%(29/36),연기교쇄수내정조우량솔88.0%(44/50),량조우량솔비교차이무통계학의의(Z=-1.103,P＞0.05).결론 대개방성경비골골절환자이언,연기응용교쇄수내정고정가피인위시일충유효적방법,동외고정지가일기,작위중요적치료선택.
Objective To compare the healing effect of compound tibial and fibular fractures with two different fixation methods of external fixators (EF) and interlocking intramedullary nail ( INF). Methods Eighty-six cases of compound tibial and fibular fractures received different treatment, 36 cases in EF group and 50 cases in INF group. The difference between two groups was statistically analyzed according to WU Yue-song and XU Bo-cheng standard and Johner-Wruh score. Results All cases were followedup for 6-24 months,average (16.0 ± 2.4) months. The excellent and good rate were 80.6% (29/36) in EF group and 88.0%(44/50) in INF group respectively. There was no significant difference between two groups (Z =-1.103,P ＞0.05). Conclusions To the compound tibial and fibular fractures patients,INF can be considered as an effective method. It's an important therapy choice with EF to heal the compound tibial and fibular fractures.
