中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
2期
42-44
,共3页
髓内钉%胫骨骨折%动力化%静力化
髓內釘%脛骨骨摺%動力化%靜力化
수내정%경골골절%동력화%정력화
Intramedullary nail%Tibial fractures%Dynamic%Static
目的 探讨髓内钉动力化和静力化治疗胫骨中下段骨折的疗效和对并发症的影响.方法 选取吕梁市人民医院2010年1月至2012年1月收治的68例胫骨中下段骨折患者,分为观察组和对照组,每组34例.均采用交锁髓内钉治疗,观察组X片检查见骨折线间隙＜2 mm时去掉远端锁钉,对照组持续静力化直至完全愈合.比较两组病例的骨折愈合时间、踝关节、膝关节疼痛评分和关节功能.结果 观察组随访2、3、6个月骨折愈合率分别为56％、92％和100％,对照组分别为29％、68％和89％,差异有统计学意义(P＜0.05).术后6个月对照组膝关节VAS评分为(2.5±0.8)分,观察组为(2.2±0.7)分,疼痛率分别为11％和13％,差异均无统计学意义(P＞0.05);对照组踝关节VAS评分为(3.6±0.8)分,观察组为(2.1±0.6)分,疼痛率分别为17％和3％,差异有统计学意义(P＜0.05);两组膝、踝关节功能评分比较差异无统计学意义(P＞0.05).结论 胫骨中下段骨折髓内钉内固定后适时动力化治疗可以有效提高骨愈合率,降低踝关节疼痛的发生率.
目的 探討髓內釘動力化和靜力化治療脛骨中下段骨摺的療效和對併髮癥的影響.方法 選取呂樑市人民醫院2010年1月至2012年1月收治的68例脛骨中下段骨摺患者,分為觀察組和對照組,每組34例.均採用交鎖髓內釘治療,觀察組X片檢查見骨摺線間隙＜2 mm時去掉遠耑鎖釘,對照組持續靜力化直至完全愈閤.比較兩組病例的骨摺愈閤時間、踝關節、膝關節疼痛評分和關節功能.結果 觀察組隨訪2、3、6箇月骨摺愈閤率分彆為56％、92％和100％,對照組分彆為29％、68％和89％,差異有統計學意義(P＜0.05).術後6箇月對照組膝關節VAS評分為(2.5±0.8)分,觀察組為(2.2±0.7)分,疼痛率分彆為11％和13％,差異均無統計學意義(P＞0.05);對照組踝關節VAS評分為(3.6±0.8)分,觀察組為(2.1±0.6)分,疼痛率分彆為17％和3％,差異有統計學意義(P＜0.05);兩組膝、踝關節功能評分比較差異無統計學意義(P＞0.05).結論 脛骨中下段骨摺髓內釘內固定後適時動力化治療可以有效提高骨愈閤率,降低踝關節疼痛的髮生率.
목적 탐토수내정동력화화정력화치료경골중하단골절적료효화대병발증적영향.방법 선취려량시인민의원2010년1월지2012년1월수치적68례경골중하단골절환자,분위관찰조화대조조,매조34례.균채용교쇄수내정치료,관찰조X편검사견골절선간극＜2 mm시거도원단쇄정,대조조지속정력화직지완전유합.비교량조병례적골절유합시간、과관절、슬관절동통평분화관절공능.결과 관찰조수방2、3、6개월골절유합솔분별위56％、92％화100％,대조조분별위29％、68％화89％,차이유통계학의의(P＜0.05).술후6개월대조조슬관절VAS평분위(2.5±0.8)분,관찰조위(2.2±0.7)분,동통솔분별위11％화13％,차이균무통계학의의(P＞0.05);대조조과관절VAS평분위(3.6±0.8)분,관찰조위(2.1±0.6)분,동통솔분별위17％화3％,차이유통계학의의(P＜0.05);량조슬、과관절공능평분비교차이무통계학의의(P＞0.05).결론 경골중하단골절수내정내고정후괄시동력화치료가이유효제고골유합솔,강저과관절동통적발생솔.
Objective To investigate the effect of dynamic and static intramedullary nail on distal tibial fracture and the complications.Methods From January 2010 to January 2012,sixty eight cases of distal tibial fracture in our hospital were divided into observation group and control group with 34 cases in each group.They were treated with interlocking intramedullary nail.In the observation group,the callus grown removed distal locking nail,the control group continued until complete healing of static.The fracture healing time,ankle and knee pain and joint function between the two groups was compared.Results In the observation group,after 2,3,6 months of treatment,the fracture healing rates were 56％,92％ and 100％ ; that of control group were 29％,68％ and 89％,the differences were significant (P ＜ 0.05).After 6 months,in the control group,VAS knee score was 2.5 ± 0.8 ; the observation group was 2.2±0.7; the pain rate was 11％ and 13％,and the differences were not significant(P ＞ 0.05) ; ankle joint VAS score of control group was 3.6 ± 0.8,and that of the observation group was 2.1 ± 0.6 ; the pain was respectively 17 ％ and 3 ％,the differences were significant (P ＜ 0.05) ;between the two groups of knee,ankle function score was not statistically significant (P ＞ 0.05).Conclusions The fracture of tibial shaft after intramedullary nail fixation timely dynamic treatment can effectively improve the bone healing rate,and reduce the incidence of ankle joint pain.
