中国骨科临床与基础研究杂志
中國骨科臨床與基礎研究雜誌
중국골과림상여기출연구잡지
CHINESE JOURNAL OF CLINICAL AND BASIC ORTHO[AEDIC RESEARCH
2015年
2期
89-94
,共6页
邝国军%陈健东%骆永锋%吴俊%陈晓军%李春景
鄺國軍%陳健東%駱永鋒%吳俊%陳曉軍%李春景
광국군%진건동%락영봉%오준%진효군%리춘경
股骨骨折%骨折固定术,髓内%骨钉%骨折固定术,内%骨板%骨折愈合
股骨骨摺%骨摺固定術,髓內%骨釘%骨摺固定術,內%骨闆%骨摺愈閤
고골골절%골절고정술,수내%골정%골절고정술,내%골판%골절유합
Femoral fractures%Fracture fixation,intramedullary%Bone nails%Fracture fixation,internal%Bone plates%Fracture healing
目的：对比分析交锁髓内钉和锁定加压钢板内固定治疗成人股骨干骨折的疗效差异，探讨合理的治疗方法。方法回顾性分析2009年3月至2013年5月佛山市第一人民医院禅城医院收治的126例成人股骨干骨折患者的临床资料，根据内固定材料的不同分为交锁髓内钉组（70例）和锁定加压钢板组（56例），对两组出血量、住院时间、骨折愈合时间、末次随访临床疗效优良率、并发症发生情况进行比较。结果交锁髓内钉组和锁定加压钢板组出血量、住院时间分别为（386±53）mL、（41±4）d和（419±66）mL、（49±6）d，两组比较，差异均有统计学意义（P＜0.05）。两组患者均获随访，随访时间9～27个月（平均11.6个月）。交锁髓内钉组和锁定加压钢板组骨折平均愈合时间分别为（4.5±1.1）个月和（5.6±1.3）个月；末次随访时临床疗效优良率分别为97%（68/70）和86%（48/56）；并发症发生率分别为6%（4/70）和18%（10/56）。两组上述指标比较，差异均有统计学意义（P＜0.05）。结论与锁定加压钢板内固定术相比，交锁髓内钉治疗成人股骨干骨折具有出血量少、住院时间短、骨折愈合快、并发症少、临床疗效显著等优势。
目的：對比分析交鎖髓內釘和鎖定加壓鋼闆內固定治療成人股骨榦骨摺的療效差異，探討閤理的治療方法。方法迴顧性分析2009年3月至2013年5月彿山市第一人民醫院禪城醫院收治的126例成人股骨榦骨摺患者的臨床資料，根據內固定材料的不同分為交鎖髓內釘組（70例）和鎖定加壓鋼闆組（56例），對兩組齣血量、住院時間、骨摺愈閤時間、末次隨訪臨床療效優良率、併髮癥髮生情況進行比較。結果交鎖髓內釘組和鎖定加壓鋼闆組齣血量、住院時間分彆為（386±53）mL、（41±4）d和（419±66）mL、（49±6）d，兩組比較，差異均有統計學意義（P＜0.05）。兩組患者均穫隨訪，隨訪時間9～27箇月（平均11.6箇月）。交鎖髓內釘組和鎖定加壓鋼闆組骨摺平均愈閤時間分彆為（4.5±1.1）箇月和（5.6±1.3）箇月；末次隨訪時臨床療效優良率分彆為97%（68/70）和86%（48/56）；併髮癥髮生率分彆為6%（4/70）和18%（10/56）。兩組上述指標比較，差異均有統計學意義（P＜0.05）。結論與鎖定加壓鋼闆內固定術相比，交鎖髓內釘治療成人股骨榦骨摺具有齣血量少、住院時間短、骨摺愈閤快、併髮癥少、臨床療效顯著等優勢。
목적：대비분석교쇄수내정화쇄정가압강판내고정치료성인고골간골절적료효차이，탐토합리적치료방법。방법회고성분석2009년3월지2013년5월불산시제일인민의원선성의원수치적126례성인고골간골절환자적림상자료，근거내고정재료적불동분위교쇄수내정조（70례）화쇄정가압강판조（56례），대량조출혈량、주원시간、골절유합시간、말차수방림상료효우량솔、병발증발생정황진행비교。결과교쇄수내정조화쇄정가압강판조출혈량、주원시간분별위（386±53）mL、（41±4）d화（419±66）mL、（49±6）d，량조비교，차이균유통계학의의（P＜0.05）。량조환자균획수방，수방시간9～27개월（평균11.6개월）。교쇄수내정조화쇄정가압강판조골절평균유합시간분별위（4.5±1.1）개월화（5.6±1.3）개월；말차수방시림상료효우량솔분별위97%（68/70）화86%（48/56）；병발증발생솔분별위6%（4/70）화18%（10/56）。량조상술지표비교，차이균유통계학의의（P＜0.05）。결론여쇄정가압강판내고정술상비，교쇄수내정치료성인고골간골절구유출혈량소、주원시간단、골절유합쾌、병발증소、림상료효현저등우세。
Objective To investigate a reasonable treatment for femoral shaft fracture by comparison of therapeuctic effects between interlocking intramedullary nail (IMN) and locking compression plate (LCP). Methods Clinical data of 126 adult patients with femoral shaft fracture treated by the above two kinds of internal fixation methods from March 2009 to May 2013 in Chancheng Hospital of Foshan First People's Hospital were analyzed retrospectively. According to different kinds of internal fixation, the patients were divided into interlocking IMN group (n = 70) and LCP group ( n = 56). The estimate blood loss, length of hospital stay, fracture healing time, excellent and good rate for clinical effect at the last follow-up, as well as complication incidence in two groups were compared and analyzed. Results Estimate blood loss, length of hospital stay in interlocking IMN group and LCP group was (386 ± 53) mL, (41 ± 4) d and (419 ± 66) mL, (49 ± 6) d respectively, the differences were statistically significant (P <0.05). All patients were followed-up with the average time of 11.6 months (ranged, 9-27 months). In interlocking IMN group and LCP group, fracture healing time was (4.5 ± 1.1) months and (5.6 ± 1.3) months; excellent and good rates evaluated at the last follow-up were 97%(68/70) and 86%(48/56), complication rates were 6% (4/70) and 18% (10/56). The differences had statistical significance between the above data in two groups (P <0.05). Conclusion Compared with LCP, treatment of interlocking IMN for adult femoral shaft fracture could achieve comparable curative effect with less estimate blood loss, shorter length of hospital stay, less fracture healing time and lower complication incidence.
