镍钛记忆合金治疗髌骨粉碎性骨折的疗效观察.pdf

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1、2013年1月第3卷第1期·临床研究·镍钛记忆合金治疗髌骨粉碎性骨折的疗效观察邹戟宋卫湖北省宜昌市中心人民医院骨科，湖北宜昌443000【摘要】目的观察镍钛记忆合金治疗髌骨粉碎性骨折的临床疗效。方法选取笔者所在医院2010年3月一2011年5月收治的100例髌骨粉碎性骨折患者作为研究对象，按照治疗方法不同分为观察组60例和对照组加例，分别采用镍钛记忆合金聚髌器和张力带钢丝治疗，比较两组患者的临床治疗效果。结果(1)两组患者术中出血量比较差异无统计学意义(P>0．05o但手术时间、术后膝关节功能恢复时间比较差异有统计

2、学意义(户<0．05)。(2)观察组优43例，良l5例，优良率为96．7％；对照组优22例，良l2例，优良率为85．O％。两组患者膝关节功能优良率比较差异有统计学意义(P

3、ecurativeeffectofapplyingnickeltitaniummemoryalloyinthetreatmentofpatellacomminutedfractureZ0UJjSONGWeiDepartmentofOrthopedics，theCentralPeople’sHospitalofYichangCity，Yichang443000，China[Abstract]ObjectiveToobservetheclinicalcurativeeffectofapplyingnickeltitan

4、iummemoryalloyinthetreatmentofpatellacomminutedfracture．Methods100caseswithpatellacomminutedfracturereceivingatreatmentintheauthor’shospitalfromMarch2010toMay2011werechosenasstudyobjects．Theyweredividedintotheobservationgroup(60cases)andthecontrolgroup(40cases

5、)accordingtodifferenttreatmentmethods．Then，nickeltitaniummemoryalloypatellarconcentratorandtensionbandwirewereusedintwogroupsrespectively．Theclinicaltherapeuticefectsofthepatientsinthetwogroupswerecompared．Results(1)Theintra—operativebleedingamountsofthepatien

6、tsinthetwogroupswerenotsignificantlydifferent>0．05)，buttheoperationtimeandthepost-operativeknee-jointfunctionrecoverytimeweresignificantlydifferentfP<0．05)，andthedifferencesareofstatisticalsignificance．(2)Intheobservationgroup，43casesobtainedexcellentcurativee

7、ffectand15casesobtainedgoodcurativeeffect，SOtheexcellent-goodratewas96．7％．Inthecontrolgroup，22casesobtainedexcellentcurativeeffectand．12casesgoodcurativeeffect．SOtheexcellent-goodratewas85．0％．Therefore，theexcellent-goodratesoftheknee-jointfunctionsofthepatient

8、sintwogroupsweresignificantlydifferentfP<0．05)，andthedifferenceisofstatisticalsignificance．ConclusionThepost-operativeknee-jointfunctionrecoveryeffectcanbesignificantlyimprovedthro