山东医药
山東醫藥
산동의약
SHANDONG MEDICAL JOURNAL
2014年
27期
46-48
,共3页
小切口%食指引导复位%髓内钉固定术%肱骨干骨折
小切口%食指引導複位%髓內釘固定術%肱骨榦骨摺
소절구%식지인도복위%수내정고정술%굉골간골절
small incision%index finger guiding reduction%intramedullary nail fixation%humeral shaft fracture
目的：观察微创复位髓内钉固定术治疗肱骨干骨折的效果。方法62例肱骨干骨折患者随机分为观察组32例和对照组30例，观察组采用小切口食指引导复位逆行自锁髓内钉固定术治疗，对照组采用开放复位逆行自锁髓内钉固定术治疗，比较两组手术时间、失血量、并发症、骨折愈合具体时间及肩肘关节功能。结果观察组、对照组手术时间分别为（67．1±38．0）、（81．2±40．0）min，两组比较，P＞0．05；出血量分别为（74．9±49．0）、（117．6±67．0）mL，两组比较，P＜0．05；愈合时间分别为（14．5±2．1）、（18．5±2．9）周，两组比较，P＜0．05；Constant评分分别为（93．9±6．9）、（91．5±5．8）分，两组比较，P＞0．05；Mayo评分分别为（89．8±7．1）、（86．4±6．8）分，两组比较，P＞0．05。两组均无骨折不愈合、医源性神经损伤、医源性骨折、术后感染、固定失败发生。结论微创复位髓内钉固定术治疗肱骨干骨折效果较好，且较开放复位逆行自锁髓内钉固定术出血量少、愈合时间短。
目的：觀察微創複位髓內釘固定術治療肱骨榦骨摺的效果。方法62例肱骨榦骨摺患者隨機分為觀察組32例和對照組30例，觀察組採用小切口食指引導複位逆行自鎖髓內釘固定術治療，對照組採用開放複位逆行自鎖髓內釘固定術治療，比較兩組手術時間、失血量、併髮癥、骨摺愈閤具體時間及肩肘關節功能。結果觀察組、對照組手術時間分彆為（67．1±38．0）、（81．2±40．0）min，兩組比較，P＞0．05；齣血量分彆為（74．9±49．0）、（117．6±67．0）mL，兩組比較，P＜0．05；愈閤時間分彆為（14．5±2．1）、（18．5±2．9）週，兩組比較，P＜0．05；Constant評分分彆為（93．9±6．9）、（91．5±5．8）分，兩組比較，P＞0．05；Mayo評分分彆為（89．8±7．1）、（86．4±6．8）分，兩組比較，P＞0．05。兩組均無骨摺不愈閤、醫源性神經損傷、醫源性骨摺、術後感染、固定失敗髮生。結論微創複位髓內釘固定術治療肱骨榦骨摺效果較好，且較開放複位逆行自鎖髓內釘固定術齣血量少、愈閤時間短。
목적：관찰미창복위수내정고정술치료굉골간골절적효과。방법62례굉골간골절환자수궤분위관찰조32례화대조조30례，관찰조채용소절구식지인도복위역행자쇄수내정고정술치료，대조조채용개방복위역행자쇄수내정고정술치료，비교량조수술시간、실혈량、병발증、골절유합구체시간급견주관절공능。결과관찰조、대조조수술시간분별위（67．1±38．0）、（81．2±40．0）min，량조비교，P＞0．05；출혈량분별위（74．9±49．0）、（117．6±67．0）mL，량조비교，P＜0．05；유합시간분별위（14．5±2．1）、（18．5±2．9）주，량조비교，P＜0．05；Constant평분분별위（93．9±6．9）、（91．5±5．8）분，량조비교，P＞0．05；Mayo평분분별위（89．8±7．1）、（86．4±6．8）분，량조비교，P＞0．05。량조균무골절불유합、의원성신경손상、의원성골절、술후감염、고정실패발생。결론미창복위수내정고정술치료굉골간골절효과교호，차교개방복위역행자쇄수내정고정술출혈량소、유합시간단。
Objective To observe the curative effect of minimally invasive reduction and intramedullary nail fixation in treatment of humeral fractures .Methods Sixty-two patients with humeral shaft fractures were randomly divided into 2 groups:the observation group (32 cases) and the control group (30 cases).Patients in the observation group were treated with small incision index guiding retrograde self-locking intramedullary nail fixation , and patients in the control group were treated by open reduction retrograde self-locking intramedullary nail fixation .The operation time, blood loss, complica-tions, fracture healing time and the functions of shoulder and elbow joint were compared between the two groups .Results The operation time of the observation group and control group was (67.1 ±38.0) and (81.2 ±40.0) min, respectively (P>0.05);the amount of bleeding was (74.9 ±49.0) and (117.6 ±67.0) mL, respectively (P<0.05); the healing time was (14.5 ±2.1) and (18.5 ±2.9) weeks, respectively (P<0.05); the Constant scores were (93.9 ±6.9) and (91.5 ±5.8), respectively (P>0.05);and the Mayo scores were (89.8 ±7.1) and (86.4 ±6.8), respectively (P<0.05).No nonunion, iatrogenic nerve injury, iatrogenic fracture, postoperative infection and fixation failure were found in the two groups.Conclusion Minimally invasive reduction and intramedullary nail fixation has good effect in treatment of humeral fractures, whose amount of bleeding and healing time is less as compared with that of open reduction .
