CAJ | 학술논문

目的：探讨闭合复位交锁髓内钉固定对胫骨骨折的影响。方法将45例胫骨骨折患者分成两组，观察组采用闭合复位交锁髓内钉内固定治疗，对照组切开复位交锁髓内钉固定，观察两组的临床疗效，比较手术情况及术后并发症。结果两组优良率比较，P＞0.05，差异不具有统计学意义，两组患者的住院时间、手术时间以及愈合时间比较，P＞0.05，差异不具有统计学意义。观察组失血量低于对照组，骨折愈合率高于对照组，P＜0.05，差异具有统计学意义，并发症发生率低。结论闭合复位交锁髓内钉治疗胫骨骨折疗效明显，恢复快且安全。
목적：탐토폐합복위교쇄수내정고정대경골골절적영향。방법장45례경골골절환자분성량조，관찰조채용폐합복위교쇄수내정내고정치료，대조조절개복위교쇄수내정고정，관찰량조적림상료효，비교수술정황급술후병발증。결과량조우량솔비교，P＞0.05，차이불구유통계학의의，량조환자적주원시간、수술시간이급유합시간비교，P＞0.05，차이불구유통계학의의。관찰조실혈량저우대조조，골절유합솔고우대조조，P＜0.05，차이구유통계학의의，병발증발생솔저。결론폐합복위교쇄수내정치료경골골절료효명현，회복쾌차안전。
Objective To investigate the effect of closed reduction and interlocking intramedullary nailing on tibial fractures.Methods Selected 45 cases of tibial fracture were divided into two groups. The observation group was treated with closed reduction and interlocking intramedullary nailing. The control group was treated with open reduction and interlocking intramedullary nailing. The clinical efficacy of the two groups was investigated.Results Compared the excellent rate of two groups,P>0.05, had no difference statistically significance. the length of hospital stay, operation time and healing time of the two groups,P>0.05, had difference statistically significance. blood loss in the observation group was lower than the control group, the fracture healing rate was higher than the control group,P<0.05, had difference statistically significance, the incidence of complications was low.Conclusion Closed reduction and interlocking interamedullary nailing in the treatment of tibial fractures is obvious, which is quick recovery and safe.