CAJ | 학술논문

目的：分析交锁髓内钉与外固定支架治疗胫腓骨骨折的临床效果。方法选择2012年11月~2014年11月在我院就诊的患有胫腓骨骨折疾病的患者86例，随机分为对照组和治疗组，每组43例。对照组患者采用外固定支架技术实施治疗；治疗组患者采用交锁髓内钉技术实施治疗。比较两组患者的胫腓骨骨折手术治疗效果、手术操作时间、术后住院时间、术后胫腓骨生理功能恢复正常时间、围术期内出现不良反应的人数、手术前后VAS评分的改善幅度。结果治疗组患者骨折手术操作时间、术后住院时间、术后胫腓骨生理功能恢复正常时间均明显短于对照组，组间比较差异有统计学意义(P<0.05)；治疗组手术治疗效果明显优于对照组，组间比较差异有统计学意义(P<0.05)；治疗组出现不良反应的人数明显少于对照组，组间比较差异有统计学意义(P<0.05)；治疗组手术前后VAS评分的改善幅度明显大于对照组，组间比较差异有统计学意义(P<0.05)。结论交锁髓内钉治疗胫腓骨骨折的临床效果显著。
목적：분석교쇄수내정여외고정지가치료경비골골절적림상효과。방법선택2012년11월~2014년11월재아원취진적환유경비골골절질병적환자86례，수궤분위대조조화치료조，매조43례。대조조환자채용외고정지가기술실시치료；치료조환자채용교쇄수내정기술실시치료。비교량조환자적경비골골절수술치료효과、수술조작시간、술후주원시간、술후경비골생리공능회복정상시간、위술기내출현불량반응적인수、수술전후VAS평분적개선폭도。결과치료조환자골절수술조작시간、술후주원시간、술후경비골생리공능회복정상시간균명현단우대조조，조간비교차이유통계학의의(P<0.05)；치료조수술치료효과명현우우대조조，조간비교차이유통계학의의(P<0.05)；치료조출현불량반응적인수명현소우대조조，조간비교차이유통계학의의(P<0.05)；치료조수술전후VAS평분적개선폭도명현대우대조조，조간비교차이유통계학의의(P<0.05)。결론교쇄수내정치료경비골골절적림상효과현저。
Objective To analyze the clinical effect of interlocking intramedullary nail and external fixation in the treatment of tibial and fibula fractures. Methods Eighty-six patients with fractures of the tibia and fibula admitted into our hospital from November 2012 to November 2014 were selected and evenly divided into control group and treatment group in random.In the control group,external fixation was used in the treatment,while in the treatment group,interlocking intramedullary nailing was adopted for the therapy.The operative therapeutic effect,operation time,hospital stay after surgery,time of physiological function of tibia and fibula returning to be normal after surgery,number of cases occurred with adverse reactions during perioperative period,and improvement of visual analogue scale (VAS) before and after surgery between two groups was compared respectively. Results In the treatment group,operation time on fractures,hospital stay after surgery,and time of physiological function of tibia and fibula returning to be normal after surgery was greatly shorter in comparison with that in control group respectively,with statistical differences (P<0.05).The treatment effect of treatment group was significantly better than control group,with statistical differences(P<0.05).Number of cases occurred with adverse reactions of treatment group was much less than that in control group,with a statistical difference(P<0.05). The improvement degree of VAS before and after surgery in treatment group was more obviously than that in control group,with a statistical difference (P<0.05). Conclusion In the treatment of fractures of tibia and fibula,application of interlocking intramedullary nail can obtain a remarkable effect in clinic.