闭合复位弹性髓内钉内固定治疗儿童长骨干骨折的效果分析
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摘要
目的:分析闭合复位弹性髓内钉内固定治疗儿童长骨干骨折的效果。方法:回顾性分析2017年1-12月本院收治的儿童长骨干骨折的病例共158例,其中82例采用弹性髓内钉治疗作为观察组,76例采用一般髓内钉治疗作为对照组。对比两组术中出血量、手术时间、住院时间、骨折愈合时间与下地时间;对比两组临床疗效及并发症发生率。结果:观察组术中出血量、手术时间、住院时间及下地时间均明显少于对照组(P<0.05);观察组上肢、下肢的骨折愈合时间均短于对照组(P<0.05);观察组临床优良率高于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05)。结论:儿童长骨干骨折采用闭合复位弹性髓内钉内固定治疗操作方便,耗时少,创伤小,能有效提高临床疗效,减少并发症发生率,加快术后骨折愈合进程,值得临床推广。
Objective:To analyze the effect of closed reduction and elastic intramedullary nailing in the treatment of long bone fracture in children.Method:Retrospective analysis of 158 cases of long bone fracture of children admitted to our hospital from January to December 2017.Among them,82 cases treated with elastic intramedullary nail as the observation group and 76 cases treated with general intramedullary nail as the control group.The intraoperative blood loss,operation time,hospitalization time,fracture healing time and ambulation time were compared between the two groups.The clinical efficacy and complication rate of the two groups were compared.Result:The intraoperative blood loss,operation time,hospitalization time and ambulation time in the observation group were significantly less than those in the control group(P<0.05).The healing time of the upper and lower limbs in the observation group were shorter than those in the control group(P<0.05).The excellent rate in the observation group was higher than that of the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:The application of closed reduction and elastic intramedullary nail internal fixation for the treatment of children's long bone fractures is convenient,time-consuming and minimally invasive,it can effectively improve the clinical efficacy,reduce the incidence of complications and accelerate the postoperative fracture healing process,it is worthy of clinical promotion.
Objective:To analyze the effect of closed reduction and elastic intramedullary nailing in the treatment of long bone fracture in children.Method:Retrospective analysis of 158 cases of long bone fracture of children admitted to our hospital from January to December 2017.Among them,82 cases treated with elastic intramedullary nail as the observation group and 76 cases treated with general intramedullary nail as the control group.The intraoperative blood loss,operation time,hospitalization time,fracture healing time and ambulation time were compared between the two groups.The clinical efficacy and complication rate of the two groups were compared.Result:The intraoperative blood loss,operation time,hospitalization time and ambulation time in the observation group were significantly less than those in the control group(P<0.05).The healing time of the upper and lower limbs in the observation group were shorter than those in the control group(P<0.05).The excellent rate in the observation group was higher than that of the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:The application of closed reduction and elastic intramedullary nail internal fixation for the treatment of children's long bone fractures is convenient,time-consuming and minimally invasive,it can effectively improve the clinical efficacy,reduce the incidence of complications and accelerate the postoperative fracture healing process,it is worthy of clinical promotion.
引文
[1]冯小兵,吴常杰,赵新动,等.弹性髓内钉治疗儿童四肢长骨骨折临床疗效分析[J].兵团医学,2018(4):31-33.
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[3]郭占豪,王军建,季泽娟.弹性髓内钉固定治疗小儿股骨骨折疗效评价[J].临床研究,2018,26(12):61-63.
[4]黄克成,张敬贤.弹性髓内钉与克氏针内固定术治疗儿童桡骨颈骨折的比较研究[J].名医,2018(11):43.
[5]聂虎,牛国旗,周功,等.闭合复位弹性髓内钉治疗儿童长骨骨折疗效分析[J].淮海医药,2018,36(6):709-711.
[6]向杰,范伟杰,尹科,等.弹性髓内钉与外固定架固定治疗儿童下肢长骨干骨折的疗效比较[J].中国骨与关节损伤杂志,2018,33(10):1092-1094.
[7]朱博.弹性髓内钉与锁定加压板用于儿童下肢骨折的疗效对比[J].临床研究,2018,26(8):81-82.
[8]彭斌,殷成宇,多吉泽仁.弹性髓内钉治疗儿童股骨干骨折临床体会[J].西藏医药,2018,39(4):37-38.
[9]陈杰,刘华.钛制弹性髓内钉在儿童四肢骨折中的治疗效果[J].中国当代医药,2018,25(18):71-73.
[10]钟志,黄小顺,林大鹏.钛合金弹性髓内钉治疗儿童四肢长骨干骨折的疗效观察[J].中国实用医药,2017,12(36):27-29.
[11]刘世雄,穆星星.弹性髓内钉内固定治疗儿童四肢长骨干骨折的效果[J].中国社区医师,2017,33(35):62,64.
[12]罗伟国,黄智,邹重文.闭合复位弹性髓内钉与切开复位钢板内固定治疗儿童长骨干骨折的疗效比较[J].中国骨与关节损伤杂志,2017,32(5):543-545.
[13]周连军,孙建华,刘爱春,等.弹性髓内钉治疗儿童长骨干骨折疗效观察[J].中国医药导报,2013,10(3):51-54.
[14]李兴旺,邱德伟,邹勇,等.钛合金弹性髓内钉与切开复位钢板固定治疗儿童四肢长骨干骨折的效果对比[J].中国当代医药,2017,24(12):50-52.
[15]郑晓明,王康振,彭杰威,等.弹性髓内钉治疗儿童股骨干骨折的效果分析[J].中外医学研究,2017,15(7):6-8.
[16]黄媛霞,陶金刚,赵红星,等.钛制弹性髓内钉治疗儿童长骨干骨折疗效观察[J].新乡医学院学报,2017,34(2):117-120.
[17]刘锋.使用钛合金弹性髓内钉内固定术治疗儿童四肢长骨干骨折的效果观察[J].当代医药论丛,2016,14(20):9-10.
[18]黄常盛,王剑,吕正涛,等.闭合复位微创经皮弹性髓内钉内固定治疗儿童长骨干骨折的临床疗效[J].当代医学,2016,22(18):94-95.
[19]洪志华,金东辉,朱建,等.弹性髓内钉在儿童四肢长骨干骨折治疗中的应用[J].浙江创伤外科,2016,21(4):656-657.
[20]闫光华,葛顺杰,仇继任,等.弹性髓内钉治疗儿童四肢长骨干骨折临床疗效分析[J].中国现代医生,2016,54(27):73-76.
[2]王贵凯.弹性髓内钉内固定治疗儿童四肢长骨干骨折的效果分析[J/OL].心血管外科杂志(电子版),2018,7(4):702-703.
[3]郭占豪,王军建,季泽娟.弹性髓内钉固定治疗小儿股骨骨折疗效评价[J].临床研究,2018,26(12):61-63.
[4]黄克成,张敬贤.弹性髓内钉与克氏针内固定术治疗儿童桡骨颈骨折的比较研究[J].名医,2018(11):43.
[5]聂虎,牛国旗,周功,等.闭合复位弹性髓内钉治疗儿童长骨骨折疗效分析[J].淮海医药,2018,36(6):709-711.
[6]向杰,范伟杰,尹科,等.弹性髓内钉与外固定架固定治疗儿童下肢长骨干骨折的疗效比较[J].中国骨与关节损伤杂志,2018,33(10):1092-1094.
[7]朱博.弹性髓内钉与锁定加压板用于儿童下肢骨折的疗效对比[J].临床研究,2018,26(8):81-82.
[8]彭斌,殷成宇,多吉泽仁.弹性髓内钉治疗儿童股骨干骨折临床体会[J].西藏医药,2018,39(4):37-38.
[9]陈杰,刘华.钛制弹性髓内钉在儿童四肢骨折中的治疗效果[J].中国当代医药,2018,25(18):71-73.
[10]钟志,黄小顺,林大鹏.钛合金弹性髓内钉治疗儿童四肢长骨干骨折的疗效观察[J].中国实用医药,2017,12(36):27-29.
[11]刘世雄,穆星星.弹性髓内钉内固定治疗儿童四肢长骨干骨折的效果[J].中国社区医师,2017,33(35):62,64.
[12]罗伟国,黄智,邹重文.闭合复位弹性髓内钉与切开复位钢板内固定治疗儿童长骨干骨折的疗效比较[J].中国骨与关节损伤杂志,2017,32(5):543-545.
[13]周连军,孙建华,刘爱春,等.弹性髓内钉治疗儿童长骨干骨折疗效观察[J].中国医药导报,2013,10(3):51-54.
[14]李兴旺,邱德伟,邹勇,等.钛合金弹性髓内钉与切开复位钢板固定治疗儿童四肢长骨干骨折的效果对比[J].中国当代医药,2017,24(12):50-52.
[15]郑晓明,王康振,彭杰威,等.弹性髓内钉治疗儿童股骨干骨折的效果分析[J].中外医学研究,2017,15(7):6-8.
[16]黄媛霞,陶金刚,赵红星,等.钛制弹性髓内钉治疗儿童长骨干骨折疗效观察[J].新乡医学院学报,2017,34(2):117-120.
[17]刘锋.使用钛合金弹性髓内钉内固定术治疗儿童四肢长骨干骨折的效果观察[J].当代医药论丛,2016,14(20):9-10.
[18]黄常盛,王剑,吕正涛,等.闭合复位微创经皮弹性髓内钉内固定治疗儿童长骨干骨折的临床疗效[J].当代医学,2016,22(18):94-95.
[19]洪志华,金东辉,朱建,等.弹性髓内钉在儿童四肢长骨干骨折治疗中的应用[J].浙江创伤外科,2016,21(4):656-657.
[20]闫光华,葛顺杰,仇继任,等.弹性髓内钉治疗儿童四肢长骨干骨折临床疗效分析[J].中国现代医生,2016,54(27):73-76.