CAJ | 학술논문

目的：探讨采用膨胀钉内固定治疗肱骨骨折的临床效果。方法：回顾性分析笔者所在医院收治的行膨胀式髓内钉内固定治疗的56例肱骨骨折患者的临床资料，分析患者手术情况、骨折愈合情况、并发症发生情况以及随访结束时关节功能恢复效果。结果：本组患者手术时间为30~90 min，术中无一例输血，无一例发生医源性桡神经损伤，骨折均骨性愈合，平均愈合时间为(7.14±1.26)个月，无一例发生并发症。术后关节功能恢复效果评价44例为优，11例为良，1例为可，优良率为98.21%。结论：采用膨胀式髓内钉内固定治疗肱骨骨折的临床疗效显著，愈合快、患肢功能恢复良好、安全性高，值得临床推广。
목적：탐토채용팽창정내고정치료굉골골절적림상효과。방법：회고성분석필자소재의원수치적행팽창식수내정내고정치료적56례굉골골절환자적림상자료，분석환자수술정황、골절유합정황、병발증발생정황이급수방결속시관절공능회복효과。결과：본조환자수술시간위30~90 min，술중무일례수혈，무일례발생의원성뇨신경손상，골절균골성유합，평균유합시간위(7.14±1.26)개월，무일례발생병발증。술후관절공능회복효과평개44례위우，11례위량，1례위가，우량솔위98.21%。결론：채용팽창식수내정내고정치료굉골골절적림상료효현저，유합쾌、환지공능회복량호、안전성고，치득림상추엄。
Objective:To explore the clinical effect of expansion nail internal fixation in the treatment of patients with humerus fracture.Method:The clinical data of 56 patients with humerus fracture who treated by expansion nail internal fixation were retrospectively analyzed.The operation situation,fracture healing,complication and the effect of joint functional recovery at the end of follow-up in all patients were analyzed.Result:In all patients,the operation time was 30-90 min,with no case transfusion,with no case iatrogenic radial nerve injuries,all fractures were healed,the mean healing time was (7.14±1.26)months, with no case with complication.The effect evaluation of recovery of joint function after operation:44 cases with excellent,11 cases with good,1 case with general good,the excellent and good rate was 98.21%.Conclusion:The clinical effect of expansion nail internal fixation in the treatment of patients with humerus fracture is remarkable,it can make the humeral fracture healing fast,the limb function recovered well,with high safety,is worthy of clinical promotion.