中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2013年
32期
142-143
,共2页
锁定钢板%交锁髓内钉%胫腓骨骨折%疗效对比分析
鎖定鋼闆%交鎖髓內釘%脛腓骨骨摺%療效對比分析
쇄정강판%교쇄수내정%경비골골절%료효대비분석
locking plate%intramedulary nail%tibia and fibula fracture%comparative analysis of efficacy
目的：探讨锁定钢板和交锁髓内钉治疗胫腓骨骨折的临床疗效情况。方法选取我院2011年6月～2013年4月我院骨外科收治的胫腓骨骨折病人78例，分为观察组和对照组两个组别，每组39例患者。观察组患者采取交锁髓内钉治疗，对照组患者则采取锁定钢板固定治疗，比较两组患者临床疗效情况。结果所有患者均得到临床随访，观察组患者优良率为100%，骨痂出现时间37.4±4.5d，愈合时间143.6±18.2d，解剖复位率97.44%；观察组患者优良率为87.18%，骨痂出现时间40.2±4.2d，愈合时间16.9±19.0d，解剖复位率79.49%；所有比较结果均有统计学意义（P均＜0.05）。结论交锁髓内钉对于胫腓骨骨折处血液供应和生物力学的环境干扰相对较小，利于骨折端的愈合，预后良好。
目的：探討鎖定鋼闆和交鎖髓內釘治療脛腓骨骨摺的臨床療效情況。方法選取我院2011年6月～2013年4月我院骨外科收治的脛腓骨骨摺病人78例，分為觀察組和對照組兩箇組彆，每組39例患者。觀察組患者採取交鎖髓內釘治療，對照組患者則採取鎖定鋼闆固定治療，比較兩組患者臨床療效情況。結果所有患者均得到臨床隨訪，觀察組患者優良率為100%，骨痂齣現時間37.4±4.5d，愈閤時間143.6±18.2d，解剖複位率97.44%；觀察組患者優良率為87.18%，骨痂齣現時間40.2±4.2d，愈閤時間16.9±19.0d，解剖複位率79.49%；所有比較結果均有統計學意義（P均＜0.05）。結論交鎖髓內釘對于脛腓骨骨摺處血液供應和生物力學的環境榦擾相對較小，利于骨摺耑的愈閤，預後良好。
목적：탐토쇄정강판화교쇄수내정치료경비골골절적림상료효정황。방법선취아원2011년6월～2013년4월아원골외과수치적경비골골절병인78례，분위관찰조화대조조량개조별，매조39례환자。관찰조환자채취교쇄수내정치료，대조조환자칙채취쇄정강판고정치료，비교량조환자림상료효정황。결과소유환자균득도림상수방，관찰조환자우량솔위100%，골가출현시간37.4±4.5d，유합시간143.6±18.2d，해부복위솔97.44%；관찰조환자우량솔위87.18%，골가출현시간40.2±4.2d，유합시간16.9±19.0d，해부복위솔79.49%；소유비교결과균유통계학의의（P균＜0.05）。결론교쇄수내정대우경비골골절처혈액공응화생물역학적배경간우상대교소，리우골절단적유합，예후량호。
Objective : To investigate the locking plate and intramedul ary nail in the treatment of fracture of tibia and fibula clinical situation. METHODS: From June 2011 to April 2013,79 patients with tibiofibula fracture were col ected, which were divided into two groups,39 patients in each group.The patients were taken intramedul ary nailing in the observation group, the control group patients were taking locking plate fixation. Clinical efficacy were compared between the two groups.Results: Al the patients were clinical y fol owed up ,the observation group was 100% in patients with good bone cal us appeared time 37.4 ± 4.5d, healing time of 143.6 ± 18.2d, anatomic reduction rate of 97.44%;observation group were excellent rate of 87.18% , cal us occurrence 40.2 ± 4.2d, healing time 16.9 ± 19.0d, anatomic reduction rate 79.49% ; al the results of the comparison were statistical y significant(P<0.05).Conclusion: Intramedul ary nailing for tibial fracture blood supply and biomechanical environmental interference is relatively smal ,which wil help the healing of the fracture, the prognosis is also good.
