交锁髓内钉治疗胫骨骨折40例临床研究

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1、交锁髓内钉治疗胫骨骨折40例临床研究［摘要］目的研究交锁髓内钉治疗胫骨骨折的疗效。方法选择2007年12月〜2012年12月在我院进行手术治疗的胫骨骨折患者76例,其中行交锁髓内钉固定治疗的40例设为观察组，其余行外固定支架治疗的36例患者设为对照组，观察比较两组患者术后的优良率及骨折愈合时间、术后并发症发生率。结果根据Johner-Wruh法进行手术的疗效评定,术后观察组的优良率达70.00%,明显高于对照组的优良率50.00%,两组优良率组间比较，差异有统计学意义(P<0.05)；术后观察组的骨折愈合时间明显快于对

2、照组，两组骨折愈合时间组间比较，差异有统计学意义(P<0.05)；观察组术后出现骨延迟愈合3例，对照组术后出现骨延迟愈合5例，浅表感染4例，观察组术后并发症的发生率7.5%,对照组术后并发症的发生率25.0%,观察组术后并发症的发生率明显低于对照组，差异有统计学意义(P<0.05)o结论交锁髓内钉治疗胫骨骨折具有疗效确切、骨折愈合快、并发症少等优点，值得广泛推广和应用。［关键词］胫骨骨折；交锁髓内钉；外固定支架；并发症［中图分类号］R687.3［文献标识码］B［文章编号］1673-9701(2013)32-0137-0

3、2Intramedullarynailinginthetreatmentoftibialfractures：Theclinicalstudyof40casesLIUXiaofengTheFourthWardsofOrthopedicDepartment,LiaoyangCentralHospitalinLiaoningProvince，Liaoyang111000,China[Abstract]ObjectiveToexploretheeffectofintramedullarynailinginthetreatmen

4、toftibialfractures.MethodsSeiected76casesoftibialfracturepatientsfromDecember2007toDecember2012inourhospitalforsurgicaltreatment，40casespatientsweregivenintramedullarynailfixationforthetreatment,theestablishmentoftheobservationgroup,therestofthelineoutsidethefix

5、edstentsin36patients,theestablishmentofthecontrolgroup,thegoodrateandfracturehealingtime,incidenceofpostoperativecomplicationswerecomparedbetweentwogroups.ResultsAccordingtoJohner-Wruhmethodforassessmentoftheefficacyofsurgery,postoperativeexcellentrateofobservat

6、iongroupwas70.00%,wassignificantlyhigherthanthecontropgroup(50.00%),thedifferencewasstatisticallysignificant(P<0.05)；postoperativefracturehealingtimeoftheobservationgroupwassignificantlyfasterthanthecontrolgroup,thediffereneewasstatisticallysignificant(P<0.05)；t

7、heobservationgrouppostoperativedelayedunionthreecases,thecontrolgroupofpatientsafteradelayedbonehealingin5cases,4casesofsuperficialinfection,postoperativecomplicationsofobservedoccurrenceratewas7.5%,theincidenceofpostoperativecomplicationsofthecontrolgroupwas25.

8、0%,theincidencerateofpostoperativecomplicationsintheobservationgroupwassignificantlylowerthanthecontrolgroup(P<0.05).ConclusionIntramedullarynailingoftibialfracturesh