CAJ | 학술논문

目的：探讨在股骨骨折患者中，对比切开与闭合复位交锁髓内钉固定治疗方案的临床疗效。方法选取我院收治的股骨骨折患者56例进行分析，将其随机分为对照组和观察组。对照组采用闭合复位交锁髓内钉固定方案，观察组采用切开复位交锁髓内钉固定方案。观察两组患者的临床治疗效果，以及并发症发生情况。结果在术中出血量、住院时间指标上，组间相比差异不明显，不具有统计学意义（P＞0.05）。观察组患者的手术时间明显短于对照组，患者在出血、感染、骨不连、伤肢短缩等并发症的发生率（7.1%）低于对照组（28.6%），术后骨痂的生长速度更快，和对照组相比差异明显，具有统计学意义（P＜0.05）。结论在股骨骨折患者中，应用切开复位交锁髓内钉固定治疗方案，能够缩短手术时间，减少并发症的发生，加快术后骨痂的生长，有利于患者的预后和恢复，值得临床推广。
목적：탐토재고골골절환자중，대비절개여폐합복위교쇄수내정고정치료방안적림상료효。방법선취아원수치적고골골절환자56례진행분석，장기수궤분위대조조화관찰조。대조조채용폐합복위교쇄수내정고정방안，관찰조채용절개복위교쇄수내정고정방안。관찰량조환자적림상치료효과，이급병발증발생정황。결과재술중출혈량、주원시간지표상，조간상비차이불명현，불구유통계학의의（P＞0.05）。관찰조환자적수술시간명현단우대조조，환자재출혈、감염、골불련、상지단축등병발증적발생솔（7.1%）저우대조조（28.6%），술후골가적생장속도경쾌，화대조조상비차이명현，구유통계학의의（P＜0.05）。결론재고골골절환자중，응용절개복위교쇄수내정고정치료방안，능구축단수술시간，감소병발증적발생，가쾌술후골가적생장，유리우환자적예후화회복，치득림상추엄。
Objective To investigate and compare open reduction and closed reduction with intramedullary nall fixation for patients with femoral fracture. Methods 56 cases of patients with femoral fractures were selected and analyzed, and randomly divided into a control group and an observation group. The control group received closed reduction and interlocking intramedullary nall fixed scheme, the observation group received fixed scheme of open v reduction and interlocking intramedullary nall. The clinical therapeutic effect of the two groups were observed. Results The amount of bleeding, hospitalization time difference was not significant, without statistically significant (P > 0.05). Patients in the observation group operation time was shorter than that in the control group, bleeding, infection, nonunion, the injured limb shortening complications was (7.1%), while that in the control group was(28.6%), postoperative callus growth was faster, with statistical significance (P < 0.05). Conclusion The patients with femoral fractures, using open reduction and interlocking intramedullary nall fixation can shorten operation time, reduce occurrence of complications, accelerate the growth of the callus after surgery, is worth the clinical promotion.