吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
21期
4657-4658
,共2页
手法闭合复位%带锁髓内钉%胫腓骨骨折
手法閉閤複位%帶鎖髓內釘%脛腓骨骨摺
수법폐합복위%대쇄수내정%경비골골절
Closed reduction%Interlocking intramedullary nail%Tibia and fibula fracture
目的：探讨手法闭合复位带锁髓内钉疗法对于胫腓骨骨折的疗效与安全性。方法：选择胫腓骨骨折的患者46例，患者均接受手法闭合复位带锁髓内钉疗法。结果：治疗12个月后，随访每位患者，全部骨折患者均愈合良好，愈合时间为（6.5±2.5）个月，没有断钉、感染、脂肪栓塞、深静脉血栓、肢体变短萎缩以及骨不连等现象出现。结论：采用手法闭合复位带锁髓内钉法治疗，具有操作简单、创伤较小、安全性高、愈合率高的优势，术后疼痛感少，康复迅速，固定稳妥，通过闭合技术对胫骨软组织合页起到保护作用，达到功能恢复既快又好的目的。
目的：探討手法閉閤複位帶鎖髓內釘療法對于脛腓骨骨摺的療效與安全性。方法：選擇脛腓骨骨摺的患者46例，患者均接受手法閉閤複位帶鎖髓內釘療法。結果：治療12箇月後，隨訪每位患者，全部骨摺患者均愈閤良好，愈閤時間為（6.5±2.5）箇月，沒有斷釘、感染、脂肪栓塞、深靜脈血栓、肢體變短萎縮以及骨不連等現象齣現。結論：採用手法閉閤複位帶鎖髓內釘法治療，具有操作簡單、創傷較小、安全性高、愈閤率高的優勢，術後疼痛感少，康複迅速，固定穩妥，通過閉閤技術對脛骨軟組織閤頁起到保護作用，達到功能恢複既快又好的目的。
목적：탐토수법폐합복위대쇄수내정요법대우경비골골절적료효여안전성。방법：선택경비골골절적환자46례，환자균접수수법폐합복위대쇄수내정요법。결과：치료12개월후，수방매위환자，전부골절환자균유합량호，유합시간위（6.5±2.5）개월，몰유단정、감염、지방전새、심정맥혈전、지체변단위축이급골불련등현상출현。결론：채용수법폐합복위대쇄수내정법치료，구유조작간단、창상교소、안전성고、유합솔고적우세，술후동통감소，강복신속，고정은타，통과폐합기술대경골연조직합혈기도보호작용，체도공능회복기쾌우호적목적。
Objective Explore the interlocking intramedullary nailing of closed reduction of fracture of tibia and fibula therapy for effi-cacy and safety. Methods 46 cases receiving interlocking intramedullary nailing of closed reduction therapy. Results After 12 months of treatment,each patient follow - up,all patients were healed fracture healing time 6. 5 ± 2. 5 months,no broken nails,infection,embol-ism,deep vein thrombosis,shorter limbs atrophy and other phenomena nonunion. Conclusion Closed reduction technique using interloc-king intramedullary nailing treatment is simple,less invasive,safe,healing rate advantage,less postoperative pain,rehabilitation quickly, securely fixed through a closed technique hinges on the tibia and soft tissue play a protective role,to achieve functional recovery that is fast and good purposes.
