中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
16期
87-89
,共3页
锁定钢板%股骨远端合并髁间复杂性骨折%临床效果
鎖定鋼闆%股骨遠耑閤併髁間複雜性骨摺%臨床效果
쇄정강판%고골원단합병과간복잡성골절%림상효과
Locking plate%Complex fracture of distal femur combined with intercondy%Clinical effect
目的：研究锁定钢板治疗股骨远端合并髁间复杂性骨折的临床效果。方法随机选取2012年6月~2014年1月本院收治的股骨远端合并髁间复杂性骨折患者80例为研究对象。根据入院时间将患者分为观察组和对照组，各40例。观察组采用锁定钢板手术进行治疗，对照组采用传统钢板手术治疗。比较两组患者的治疗效果。结果观察组的手术时间为（62.46±1.67）min，短于对照组的（106.45±3.42）min；出血量为（225.21±7.02）ml，少于对照组的（346.42±2.46）ml；住院天数为（12.35±0.86）d，短于对照组的（19.16±1.23）d；骨折愈合时间为（61.47±1.14）d，短于对照组的（97.27±2.40）d，差异有统计学意义（P<0.05）。治疗7~24个月，观察组的优良率为90.00%，高于对照组的57.50%（P<0.05）。结论锁定钢板治疗股骨远端合并髁间骨折的临床效果显著，可减少出血量，缩短骨折愈合时间，值得广泛推广。
目的：研究鎖定鋼闆治療股骨遠耑閤併髁間複雜性骨摺的臨床效果。方法隨機選取2012年6月~2014年1月本院收治的股骨遠耑閤併髁間複雜性骨摺患者80例為研究對象。根據入院時間將患者分為觀察組和對照組，各40例。觀察組採用鎖定鋼闆手術進行治療，對照組採用傳統鋼闆手術治療。比較兩組患者的治療效果。結果觀察組的手術時間為（62.46±1.67）min，短于對照組的（106.45±3.42）min；齣血量為（225.21±7.02）ml，少于對照組的（346.42±2.46）ml；住院天數為（12.35±0.86）d，短于對照組的（19.16±1.23）d；骨摺愈閤時間為（61.47±1.14）d，短于對照組的（97.27±2.40）d，差異有統計學意義（P<0.05）。治療7~24箇月，觀察組的優良率為90.00%，高于對照組的57.50%（P<0.05）。結論鎖定鋼闆治療股骨遠耑閤併髁間骨摺的臨床效果顯著，可減少齣血量，縮短骨摺愈閤時間，值得廣汎推廣。
목적：연구쇄정강판치료고골원단합병과간복잡성골절적림상효과。방법수궤선취2012년6월~2014년1월본원수치적고골원단합병과간복잡성골절환자80례위연구대상。근거입원시간장환자분위관찰조화대조조，각40례。관찰조채용쇄정강판수술진행치료，대조조채용전통강판수술치료。비교량조환자적치료효과。결과관찰조적수술시간위（62.46±1.67）min，단우대조조적（106.45±3.42）min；출혈량위（225.21±7.02）ml，소우대조조적（346.42±2.46）ml；주원천수위（12.35±0.86）d，단우대조조적（19.16±1.23）d；골절유합시간위（61.47±1.14）d，단우대조조적（97.27±2.40）d，차이유통계학의의（P<0.05）。치료7~24개월，관찰조적우량솔위90.00%，고우대조조적57.50%（P<0.05）。결론쇄정강판치료고골원단합병과간골절적림상효과현저，가감소출혈량，축단골절유합시간，치득엄범추엄。
Objective To study the clinical effect of locking plate treating complex fracture of distal femur combined with intercondy. Methods 80 patients with complex fracture of distal femur combined with intercondy treated in our hospital from June 2012 to January 2014 were randomly selected as study objects,and they were divided into observa-tion group (n=40) and control group (n=40) according to admission time.Observation group was treated with locking plate operation while control group was treated with traditional plate operation.Treatment effect between two groups was compared. Results Operation time in observation group [(62.46±1.67) min] was shorter than that of control group [(106.45±3.42) min],bleeding amount [(225.21±7.02) ml] in observation group was less than that of control group [(346.42±2.46) ml],hospital stay in observation group [(12.35±0.86) d] was shorter than that of control group [(19.16±1.23) d],fracture healing time in observation group [(61.47±1.14) d] was lower than that of control group [(97.27±2.40) d]and there was a statistical difference between two groups (P<0.05).After 7-24 months treatment,good and excellent rate in observation group (90.00%) was higher than that of control group (57.50%) (P<0.05). Conclusion Locking plate treating complex fracture of distal femur combined with intercondy has a significant effect,and can reduce the bleeding amount and shorten fracture healing time.It is worthy of wide promotion.
