CAJ | 학술논문

目的探讨应用弹性髓内针（TEN）治疗儿童股骨干骨折的临床疗效。方法将本院住院治疗60例股骨干骨折患儿，分为TEN组（30例）与切开复位组（30例），TEN组患儿应用弹性髓内针治疗，切开复位组患儿采取切开复位钢板固定，术后依据具体情况进行外固定处理，并于除去外固定后采取功能性锻炼。结果对两组患儿进行随访6～18个月，比较手术时间、住院时间、骨折X线愈合时间、术中出血量等指标，TEN组显著优于切开复位组，术后并发症相对较少，优良率相对较高，差异有统计学意义（P＜0.05）。结论根据患儿情况选择使用TEN治疗股骨干骨折，其具有较多的优点，应力遮挡较小，损伤小，愈合较好，恢复快，并发症少，值得临床推广使用。
목적탐토응용탄성수내침（TEN）치료인동고골간골절적림상료효。방법장본원주원치료60례고골간골절환인，분위TEN조（30례）여절개복위조（30례），TEN조환인응용탄성수내침치료，절개복위조환인채취절개복위강판고정，술후의거구체정황진행외고정처리，병우제거외고정후채취공능성단련。결과대량조환인진행수방6～18개월，비교수술시간、주원시간、골절X선유합시간、술중출혈량등지표，TEN조현저우우절개복위조，술후병발증상대교소，우량솔상대교고，차이유통계학의의（P＜0.05）。결론근거환인정황선택사용TEN치료고골간골절，기구유교다적우점，응력차당교소，손상소，유합교호，회복쾌，병발증소，치득림상추엄사용。
Objective To explore the clinical efficacy of titanium elastic nail(TEN)treating children with femoral shaft fracture. Methods 60 children with femoral shaft fracture treated in our hospital were randomly divided into two groups,TEN group for 30 cases and open reduction group for 30 cases.TEN group were treated with elastic intramedullary nail,and open reduction group were treated with open reduction and plate fixation.External fixation was made after operation according to specific conditions,and functional exercise was taken after removing external fixation. Results Two groups were followed up for 6-18 months.For operation time,length of hospital stay,X-ray healing time of fracture and bleeding amount in operation,TEN group was better evidently than that of open reduction group,and TEN group not only had fewer complications but also had higher excellent rate(P<0.05). Conclusion Using TEN to treat femoral shaft fracture based on the situation of children has the advantages of less stress shielding,less injury,rapid recovery and fewer complications,which is worthy to be applied in clinical practice.