中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2013年
11期
184-185,199
,共3页
潘维文%戴国联%范尼芳%王宏新%李玉平
潘維文%戴國聯%範尼芳%王宏新%李玉平
반유문%대국련%범니방%왕굉신%리옥평
儿童股骨干骨折%弹性髓内针%切开复位固定
兒童股骨榦骨摺%彈性髓內針%切開複位固定
인동고골간골절%탄성수내침%절개복위고정
Pediatric femur fractures%Elastic intramedullary nail%Open reduction fixation
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。
目的探討應用彈性髓內針(TEN)治療兒童股骨榦骨摺的臨床療效。方法將本院住院治療60例股骨榦骨摺患兒,分為TEN組(30例)與切開複位組(30例),TEN組患兒應用彈性髓內針治療,切開複位組患兒採取切開複位鋼闆固定,術後依據具體情況進行外固定處理,併于除去外固定後採取功能性鍛煉。結果對兩組患兒進行隨訪6~18箇月,比較手術時間、住院時間、骨摺X線愈閤時間、術中齣血量等指標,TEN組顯著優于切開複位組,術後併髮癥相對較少,優良率相對較高,差異有統計學意義(P<0.05)。結論根據患兒情況選擇使用TEN治療股骨榦骨摺,其具有較多的優點,應力遮擋較小,損傷小,愈閤較好,恢複快,併髮癥少,值得臨床推廣使用。
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.