CAJ | 학술논문

目的：分析髓内钉固定植骨与钢板内固定植骨治疗胫骨骨不连的临床疗效。方法：取本院收治的胫骨骨不连患者68例作为研究对象，根据治疗方式的不同将所有患者分为使用髓内钉固定植骨的观察组与使用钢板内固定植骨的对照组患者，比较两组患者的治疗效果、平均手术时间、住院及愈合时间、日常生活活动能力和关节功能等差异。结果：观察组患者接受治疗后的临床疗效明显优于对照组患者(P<0.05)；两组患者接受治疗的平均手术时间无明显差异(P>0.05)，观察组患者的平均住院时间及愈合时间均明显短于对照组患者(P<0.05)；观察组患者的日常生活活动能力以及关节功能评分均明显高于对照组患者(P<0.05)。结论：髓内钉固定植骨治疗胫骨骨不连可以取得更佳的临床效果，具有积极的临床意义。
목적：분석수내정고정식골여강판내고정식골치료경골골불련적림상료효。방법：취본원수치적경골골불련환자68례작위연구대상，근거치료방식적불동장소유환자분위사용수내정고정식골적관찰조여사용강판내고정식골적대조조환자，비교량조환자적치료효과、평균수술시간、주원급유합시간、일상생활활동능력화관절공능등차이。결과：관찰조환자접수치료후적림상료효명현우우대조조환자(P<0.05)；량조환자접수치료적평균수술시간무명현차이(P>0.05)，관찰조환자적평균주원시간급유합시간균명현단우대조조환자(P<0.05)；관찰조환자적일상생활활동능력이급관절공능평분균명현고우대조조환자(P<0.05)。결론：수내정고정식골치료경골골불련가이취득경가적림상효과，구유적겁적림상의의。
Objective:To analyze the clinical efficacy of Intramedullary nail fixation and plate fixation bone graft in the treatment of tibial nonunion.Methods:68 patients with tibial nonunion in our hospital were as research subjects, according to the different treatment, patients were divided into observation group using intramedullary nail fixation bone graft, and control group using plate fixation bone graft. The therapeutic effect, the average surgery time, hospitalization and healing time, activities of daily living, and joint function differences in the two groups were compared. Results:The clinical efficacy in the observation group was significantly better than that the control group (P<0.05).About the average surgery time, there was no significant difference (P>0.05).About the average length of stay and the healing time in the observation group were significantly shorter than those in the control group (P<0.05).Activities of daily living and joint function scores in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:Intramedullary nail fixation bone graft for treating tibial bone is able to obtain better clinical effect. It has active clinical significance.