CAJ | 학술논문

目的：研究在临床上出现新鲜四肢长骨干骨折病症时采用带锁骨内钉进行治疗的临床效果。方法就本院2008年7月至2012年5月期间接受治疗的570名新鲜四肢长骨干骨折病人的相关临床病历资料进行回顾性分析研究，将这570例患者进行随机分组，分别为观察组和对照组，前组患者的治疗手段为带锁髓内钉治疗，后组患者的治疗手段则为单侧外固定支架法治疗，对两组的相关临床信息，如住院时间、手术时间、恢复情况和骨折愈合基本情况做分析统计。结果①肱骨干骨折患者和股骨干骨折患者分别采取顺行、逆行两种髓内钉固定的手术，两者手术时间无较大差异（P ＞0.05）。②术后伤口愈合率为96.5%，切开复位组和闭合复位组两组的愈合时间有较大差异（P ＜0.05）③并发症出现概率达到9.63%。结论采用闭合复位带锁髓内钉的治疗方案对新鲜四肢长骨干骨折患者有更好的治疗效果，同时还需注意治疗过程中出现的并发症。
목적：연구재림상상출현신선사지장골간골절병증시채용대쇄골내정진행치료적림상효과。방법취본원2008년7월지2012년5월기간접수치료적570명신선사지장골간골절병인적상관림상병력자료진행회고성분석연구，장저570례환자진행수궤분조，분별위관찰조화대조조，전조환자적치료수단위대쇄수내정치료，후조환자적치료수단칙위단측외고정지가법치료，대량조적상관림상신식，여주원시간、수술시간、회복정황화골절유합기본정황주분석통계。결과①굉골간골절환자화고골간골절환자분별채취순행、역행량충수내정고정적수술，량자수술시간무교대차이（P ＞0.05）。②술후상구유합솔위96.5%，절개복위조화폐합복위조량조적유합시간유교대차이（P ＜0.05）③병발증출현개솔체도9.63%。결론채용폐합복위대쇄수내정적치료방안대신선사지장골간골절환자유경호적치료효과，동시환수주의치료과정중출현적병발증。
Objective To study the treatment of locking intramedullary nail in Fresh limbs long bone fracture. Methods Choose 570 patients who are fresh limbs long bone fracture in our hospital from July 2008 to May 2012, then study and analyze retrospectively the treatment of clinical data. These 570 cases of patients were randomly assigned to the observation group and the control group. Give interlocking intramedullary nail treatment f to the observation group, unilateral external fixator method to the control group. Analyze the basic situation of the two groups, including relevant clinical information, surgery time, recovery and healing situation. Results ① patients with humeral shaft fracture and femoral fracture patients were taken along the line, the two retrograde intramedullary nailing surgery, no big difference between the two operative time (P> 0.05). ② the rate of wound healing is 96.5%, closed reduction and open reduction group healing time are quite different (P <0.05) ③ The probability of complications reach 9.63%. Conclusion Closed reduction and interlocking intramedullary nail treatment options for patients with long bone fractures fresh limbs have a better therapeutic effect.