中国医药导刊
中國醫藥導刊
중국의약도간
Chinese Journal of Medical Guide
2015年
9期
897-898,900
,共3页
股骨远端骨折%锁定钢板%逆行髓内钉%临床效果
股骨遠耑骨摺%鎖定鋼闆%逆行髓內釘%臨床效果
고골원단골절%쇄정강판%역행수내정%림상효과
Distal femoral fracture%Locking plate%Retrograde intramedullary nailing%Clinical effect
目的:探究对股骨远端骨折患者行锁定钢板和逆行髓内钉治疗的临床效果.方法:选取2008年1月至2010年2月我院股骨远端骨折患者68例,按数字顺序分A、B组各34例,分别行逆行髓内钉治疗、锁定钢板治疗,对比两组疗效.结果:A组行逆行髓内钉治疗后临床优良率较B组无统计学意义(P>0.05),但手术时间较B组长,术中出血量较B组大,术中透视次数、负重功能锻炼时间、骨折愈合时间较B组优,并发症发生率较B组高,差异有统计学意义(P<0.05).结论:在股骨远端骨折治疗中,锁定钢板和逆行髓内钉均具有一定的疗效,应用依骨折类型合理选择术式,有利于调节患者关节功能、减少并发症.
目的:探究對股骨遠耑骨摺患者行鎖定鋼闆和逆行髓內釘治療的臨床效果.方法:選取2008年1月至2010年2月我院股骨遠耑骨摺患者68例,按數字順序分A、B組各34例,分彆行逆行髓內釘治療、鎖定鋼闆治療,對比兩組療效.結果:A組行逆行髓內釘治療後臨床優良率較B組無統計學意義(P>0.05),但手術時間較B組長,術中齣血量較B組大,術中透視次數、負重功能鍛煉時間、骨摺愈閤時間較B組優,併髮癥髮生率較B組高,差異有統計學意義(P<0.05).結論:在股骨遠耑骨摺治療中,鎖定鋼闆和逆行髓內釘均具有一定的療效,應用依骨摺類型閤理選擇術式,有利于調節患者關節功能、減少併髮癥.
목적:탐구대고골원단골절환자행쇄정강판화역행수내정치료적림상효과.방법:선취2008년1월지2010년2월아원고골원단골절환자68례,안수자순서분A、B조각34례,분별행역행수내정치료、쇄정강판치료,대비량조료효.결과:A조행역행수내정치료후림상우량솔교B조무통계학의의(P>0.05),단수술시간교B조장,술중출혈량교B조대,술중투시차수、부중공능단련시간、골절유합시간교B조우,병발증발생솔교B조고,차이유통계학의의(P<0.05).결론:재고골원단골절치료중,쇄정강판화역행수내정균구유일정적료효,응용의골절류형합리선택술식,유리우조절환자관절공능、감소병발증.
Objective: To explore the clinical effects of locking plates and retrograde intramedullary nail in the treatment of distal femoral fracture.Methods:68 cases of patients with distal femoral fractures admitted into the hospital during Jan 2008 to Feb 2010 were selected as the research objects.According to the sequence of number,the objects were divided into group A and B with 34 cases in each group.The retrograde intramedullary nail and locking plates were performed respectively in the two groups.The efficacy of the two groups was compared.Results:After the given retrograde intramedullary nail treatment , the clinical excellent and good rate of group A was not statistically significant, compared with that of group B (P>0.05), but the operative time was longer than that in group B and the intraoperative bleeding volume was larger than that in group B.The times of intraoperative fluoroscopy, exercise time of weight-bearing function and fracture healing time were better than those in group B.The incidence rate of complications was higher than that in group B.The differences were statistically significant (P<0.05).Conclusion:In the treatment of distal femoral fractures, locking plates and retrograde intramedullary nail were of certain effects.To select the operative mode reasonably according to the type of fractures is good for adjusting the joint function of the patients and reducing complications.
