钢板螺钉内固定治疗四肢长管状骨创伤骨折的效果分析
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摘要
目的分析钢板螺钉内固定治疗四肢长管状骨创伤骨折患者的疗效。方法将221例四肢长管状骨创伤骨折患者随机分为2组。研究组(n=111)应用钢板螺钉内固定治疗,对照组(n=110)应用交锁髓内钉内固定治疗。比较2组的围术期参数、关节功能恢复情况、骨折愈合时间、术后并发症发生情况。结果研究组的围术期参数均显著优于对照组(P<0.05);相比于对照组,研究组的关节功能恢复改善程度更加显著(P<0.05);研究组的骨折愈合时间显著短于对照组(P<0.05);研究组的术后并发症发生率显著低于对照组(P<0.05)。结论钢板螺钉内固定治疗四肢长管状骨创伤骨折患者疗效显著,可提高关节功能改善程度,且并发症少。
Objective To analyze the effect of internal fixation with plate and screw on treating patients with traumatic fracture of long tubular bone of four extremities.Methods Totally 221 patients with traumatic fracture of long tubular bone of four extremities were randomly divided into two groups.Study group(n=111) was treated by internal fixation with plate and screw,while the control group(n=110) was treated by internal fixation with interlocking intramedullary nail.Perioperative parameters,recovery status of joint function,fracture healing time and complications were compared between the two groups.Results The perioperative parameters of the study group were significantly better than those of the control group(P<0.05).Compared with the control group,the improvement of joint function in the study group was better(P<0.05).The fracture healing time of the study group was significantly shorter than that of the control group(P<0.05).The incidence rate of postoperative complications in the study group was significantly lower than that in the control group(P<0.05).Conclusion Internal fixation with plate and screw is effective in the treatment of patients with traumatic fracture of long tubular bone of four extremities,which can improve joint function and reduce incidence of complications.
Objective To analyze the effect of internal fixation with plate and screw on treating patients with traumatic fracture of long tubular bone of four extremities.Methods Totally 221 patients with traumatic fracture of long tubular bone of four extremities were randomly divided into two groups.Study group(n=111) was treated by internal fixation with plate and screw,while the control group(n=110) was treated by internal fixation with interlocking intramedullary nail.Perioperative parameters,recovery status of joint function,fracture healing time and complications were compared between the two groups.Results The perioperative parameters of the study group were significantly better than those of the control group(P<0.05).Compared with the control group,the improvement of joint function in the study group was better(P<0.05).The fracture healing time of the study group was significantly shorter than that of the control group(P<0.05).The incidence rate of postoperative complications in the study group was significantly lower than that in the control group(P<0.05).Conclusion Internal fixation with plate and screw is effective in the treatment of patients with traumatic fracture of long tubular bone of four extremities,which can improve joint function and reduce incidence of complications.
引文
[1]林崇杰,刘鸿麒,陈燕青.钢板螺钉内固定治疗四肢长管状骨创伤骨折应用研究[J].基层医学论坛,2016,20(30):4305-4306.
[2]张颉锋,何翔,谭俊铭.钢板螺钉内固定治疗四肢长管骨创伤骨折的临床有效性[J].浙江创伤外科,2016,21(6):1173-1174.
[3]何勇强,周铨昆,董章庆,等.钢板螺钉内固定技术在四肢长管骨创伤骨折治疗中的应用[J].中国当代医药,2017,24(31):95-97.
[4]程少斐.钢板螺钉内固定技术应用于四肢长管骨创伤骨折的效果观察[J].河南医学研究,2017,26(3):474-475.
[5]刘宗超,刘勇,王振龙,等.四肢骨折钢板内固定断裂因素分析及对策[J].西南医科大学学报,2016,39(3):245-248.
[6]易东升,鞠盈洁,林琳.钢板螺钉内固定技术在四肢长管骨创伤骨折治疗中的应用[J].中国医疗器械信息,2017,23(4):32-33.
[7]张晓光,李金亮.双克氏针顺行髓内固定与微型髁钢板螺钉内固定治疗第5掌骨颈骨折的比较[J].中国骨与关节损伤杂志,2016,31(7):776-777.
[8]李良,李海波,陈运庆,等.切开复位钢板螺钉内固定治疗移位肩胛盂骨折18例[J].中国骨与关节损伤杂志,2016,31(1):83-84.
[9]丁鹏,张正洲,汪洋.外侧锁定钢板辅助内侧螺钉固定与双侧钢板内固定术治疗V、VI型胫骨平台骨折疗效对比观察[J].医学信息,2016,29(23):86-87.
[10]陈冰,高彦平,马勇,等.经皮微创内固定术和钢板螺钉内固定术治疗四肢骨折的优劣差异[J].中国伤残医学,2017,25(14):28-29.
[11]王金辉.微创空心螺钉内固定和钢板内固定治疗跟骨骨折的临床观察[J].中国继续医学教育,2016,8(11):165-166.
[12]张运昌.钢板螺钉内固定治疗四肢长管状骨创伤骨折的疗效观察[J].中国现代医生,2018,56(4):79-81.
[13]王文广.钢板螺钉内固定与外固定架治疗桡骨远端骨折的疗效比较[J].临床医学,2016,36(5):61-63.
[14]郭耀宗.创伤骨折患者金属钢板螺钉内固定生物力学特征分析[J].中国医学工程,2016,24(7):155-156.
[15]吴国林,季向荣,陈红卫,等.微创法与传统法在长管状骨骨折术后钢板取出术的疗效比较[J].浙江创伤外科,2016,21(4):637-638.
[2]张颉锋,何翔,谭俊铭.钢板螺钉内固定治疗四肢长管骨创伤骨折的临床有效性[J].浙江创伤外科,2016,21(6):1173-1174.
[3]何勇强,周铨昆,董章庆,等.钢板螺钉内固定技术在四肢长管骨创伤骨折治疗中的应用[J].中国当代医药,2017,24(31):95-97.
[4]程少斐.钢板螺钉内固定技术应用于四肢长管骨创伤骨折的效果观察[J].河南医学研究,2017,26(3):474-475.
[5]刘宗超,刘勇,王振龙,等.四肢骨折钢板内固定断裂因素分析及对策[J].西南医科大学学报,2016,39(3):245-248.
[6]易东升,鞠盈洁,林琳.钢板螺钉内固定技术在四肢长管骨创伤骨折治疗中的应用[J].中国医疗器械信息,2017,23(4):32-33.
[7]张晓光,李金亮.双克氏针顺行髓内固定与微型髁钢板螺钉内固定治疗第5掌骨颈骨折的比较[J].中国骨与关节损伤杂志,2016,31(7):776-777.
[8]李良,李海波,陈运庆,等.切开复位钢板螺钉内固定治疗移位肩胛盂骨折18例[J].中国骨与关节损伤杂志,2016,31(1):83-84.
[9]丁鹏,张正洲,汪洋.外侧锁定钢板辅助内侧螺钉固定与双侧钢板内固定术治疗V、VI型胫骨平台骨折疗效对比观察[J].医学信息,2016,29(23):86-87.
[10]陈冰,高彦平,马勇,等.经皮微创内固定术和钢板螺钉内固定术治疗四肢骨折的优劣差异[J].中国伤残医学,2017,25(14):28-29.
[11]王金辉.微创空心螺钉内固定和钢板内固定治疗跟骨骨折的临床观察[J].中国继续医学教育,2016,8(11):165-166.
[12]张运昌.钢板螺钉内固定治疗四肢长管状骨创伤骨折的疗效观察[J].中国现代医生,2018,56(4):79-81.
[13]王文广.钢板螺钉内固定与外固定架治疗桡骨远端骨折的疗效比较[J].临床医学,2016,36(5):61-63.
[14]郭耀宗.创伤骨折患者金属钢板螺钉内固定生物力学特征分析[J].中国医学工程,2016,24(7):155-156.
[15]吴国林,季向荣,陈红卫,等.微创法与传统法在长管状骨骨折术后钢板取出术的疗效比较[J].浙江创伤外科,2016,21(4):637-638.