CAJ | 학술논문

目的：观察空心拉力螺钉联合钢丝张力带对髌骨骨折的治疗作用,为临床工作提供参考依据。方法：选取我院2007年1月～2011年5月收治的92例髌骨骨折患者作为研究对象,采用钢丝张力带内固定的42例作为对照组,采用空心拉力螺钉联合钢丝张力带内固定的50例作为观察组,比较两组的临床效果。结果：观察组的优良率为94.0%,明显高于对照组的78.6%,组间差异有统计学意义(P<0.05)；观察组骨性愈合时间分别为(45.2±6.1)d,明显短于对照组的(49.7±5.8)d,组间差异有统计学意义(P<0.05)；随访结束时观察组的Oswestry功能障碍评分为(7.2±1.4)分,明显优于对照组的(13.8±2.0)分,组间差异有统计学意义(P<0.05)；观察组的并发症发生率为6.0%,对照组为11.9%,组间差异无统计学意义(P>0.05)。结论：空心拉力螺钉联合钢丝张力带对髌骨骨折的治疗作用显著,能明显提高患者的康复优良率,并更好的改善患者的功能障碍状况,促进患者康复。
목적：관찰공심랍력라정연합강사장력대대빈골골절적치료작용,위림상공작제공삼고의거。방법：선취아원2007년1월～2011년5월수치적92례빈골골절환자작위연구대상,채용강사장력대내고정적42례작위대조조,채용공심랍력라정연합강사장력대내고정적50례작위관찰조,비교량조적림상효과。결과：관찰조적우량솔위94.0%,명현고우대조조적78.6%,조간차이유통계학의의(P<0.05)；관찰조골성유합시간분별위(45.2±6.1)d,명현단우대조조적(49.7±5.8)d,조간차이유통계학의의(P<0.05)；수방결속시관찰조적Oswestry공능장애평분위(7.2±1.4)분,명현우우대조조적(13.8±2.0)분,조간차이유통계학의의(P<0.05)；관찰조적병발증발생솔위6.0%,대조조위11.9%,조간차이무통계학의의(P>0.05)。결론：공심랍력라정연합강사장력대대빈골골절적치료작용현저,능명현제고환자적강복우량솔,병경호적개선환자적공능장애상황,촉진환자강복。
Objective:To observe the therapeutic effect of cancellous bone screw and tension band wire in patellar fracture and provide a reference for clinical work. Methods:From January 2007 to May 2011 in our hospital, 92 cases of patella fracture patients were selected as research subjects, 42 cases were treated with tension band wire as the control group, 50 cases were treated with cancellous bone screw and tension band wire as the observation group, the clinical effect of two groups were compared. Results:The excellent and good rate of observation group was 94.0%, significantly higher than 78.6%of the control group, the difference was statistically significant between two groups (P<0.05);the bone healing time of the observation group was (45.2±6.1)d, significantly shorter than (49.7±5.8)d of the control group, the difference was statistically significant between two groups (P<0.05);the Oswestry disability score of the observation group in the end of followed-up was (7.2±1.4) points, significantly better than (13.8±2.0) points of the control group, the difference was statistically significant between two groups(P<0.05);the complication rate of observation group was 6.0%and the control group was 11.9%, the difference was not statistically significant between two groups (P>0.05). Conclusion:Cancellous bone screw and tension band wire in patellar fracture has a significant therapeutic effect, can significantly improve the excellent and good rate of patients, and better improve the patient's dysfunction status.