带锁髓内钉与锁定钢板内固定治疗成人股骨骨折的效果比较
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摘要
目的探讨带锁髓内钉与锁定钢板内固定治疗成人股骨骨折的效果。方法选取2013年1月~2015年1月我院收治的80例成人股骨骨折患者,采用随机数字表法将其分为对照组、观察组,每组40例。对照组患者采用锁定钢板内固定治疗,观察组采用带锁髓内钉内固定治疗;对比两种内固定方案的治疗效果。结果观察组患者的手术用时、骨折愈合时间明显低于对照组,且手术出血量少于对照组,差异均有统计学意义(P<0.05)。观察组患者治疗优良率明显高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论带锁髓内钉与锁定钢板内固定治疗成人股骨骨折的效果比较发现,其均能够帮助患者骨折得到相应恢复,但是比较可见锁髓内钉治疗的效果相对较好,在改善患者手术创伤、改啥患者术后恢复方面运用优势更高,值得推广。
Objective To investigate the effect of interlocking intramedullary nail and locking plate fixation in the treatment of adult femoral fracture.Methods From January 2013 to January 2015, 80 cases of adult femoral fracture patients were selected and randomly divided into control group and observation group,40 cases in each group. Patients in the control group were treated with locking plate internal fixation, while patients in the observation group were treated with interlocking intramedullary nail internal fixation.The therapeutic effects of two internal fixation schemes were compared.Results The operative time and fracture healing time in the observation group were significantly lower than those in the control group,and the amount of operative bleeding in the observation group was less than that in the control group, the differences were statistically significant(P<0.05).The excellent and good rate of the observation group was significantly higher than that of the control group, the difference was statistically significant(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group, the difference was statistically significant(P<0.05).Conclusion It is detected adult femoral fractures with interlocking intramedullary nails and locking plate internal fixation both aid on the bone fracture recovery to some extent,but the effect with interlocking intramedullary nail is relatively better and has advantages of surgical trauma improvement and amelioration of postoperative recovery,which is worthy of promotion.
Objective To investigate the effect of interlocking intramedullary nail and locking plate fixation in the treatment of adult femoral fracture.Methods From January 2013 to January 2015, 80 cases of adult femoral fracture patients were selected and randomly divided into control group and observation group,40 cases in each group. Patients in the control group were treated with locking plate internal fixation, while patients in the observation group were treated with interlocking intramedullary nail internal fixation.The therapeutic effects of two internal fixation schemes were compared.Results The operative time and fracture healing time in the observation group were significantly lower than those in the control group,and the amount of operative bleeding in the observation group was less than that in the control group, the differences were statistically significant(P<0.05).The excellent and good rate of the observation group was significantly higher than that of the control group, the difference was statistically significant(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group, the difference was statistically significant(P<0.05).Conclusion It is detected adult femoral fractures with interlocking intramedullary nails and locking plate internal fixation both aid on the bone fracture recovery to some extent,but the effect with interlocking intramedullary nail is relatively better and has advantages of surgical trauma improvement and amelioration of postoperative recovery,which is worthy of promotion.
引文
[1]程波,易兴彪,陈维义.Gamma 3型髓内钉与DHS、股骨近端锁定钢板内固定治疗老年股骨粗隆间骨折的疗效比较[J].中国骨与关节损伤杂志,2015,30(2):143-145.
[2]邵磊,周君东,程明加,等.成人股骨骨折应用带锁髓内钉和锁定钢板内固定治疗的效果对比[J].当代临床医刊,2015,28(5):1607-1608.
[3]刘伟军,胡奕山,周来喜,等.带锁髓内钉内固定与闭合复位经皮锁定加压钢板内固定治疗闭合性胫骨干骨折的临床疗效[J].深圳中西医结合杂志,2015,25(13):59-60.
[4]余英剑,李桂涛,洪翔,等.经皮微创钢板内固定技术结合锁定加压钢板与股骨近端防旋髓内钉治疗股骨粗隆间骨折的效果比较[J].中国医药导报,2014,11(19):47-50.
[5]陈德明,徐晓阳,王蔚,等.多功能带锁髓内钉和钢板置入内固定修复关节外胫骨创伤性骨折[J].中国组织工程研究,2016,20(4):549-553.
[6]兰伟斌,涂学招,邱汉民,等.逆行交锁髓内钉与股骨远端锁定钢板内固定治疗老年股骨髁上骨折的疗效比较[J].中国现代医生,2016,54(18):73-75.
[7]陈文学,张国忠,郑移兵,等.带锁髓内钉与钢板内固定治疗肱骨干粉碎性骨折[J].实用骨科杂志,2016,11(13):1018-1021.
[8]杨金辉.股骨远端A型与C型骨折采取锁定加压钢板对比逆行髓内钉干预效果评价[J].齐齐哈尔医学院学报,2016,22(11):1018-1021.
[9]何道辉.带锁髓内钉与锁定钢板内固定治疗成人股骨骨折的临床疗效观察[J].现代诊断与治疗,2017,28(4):694-696.
[10]吴华兵,尹金铭,田华强.带锁髓内钉和动力加压钢板内固定治疗股骨干骨折后骨不连的效果比较[J].中国当代医药,2016,23(24):58-61.
[11]苟波,谢晓敏,祁文兵,等.近端防旋髓内钉与近端解剖型锁定钢板治疗老年股骨粗隆间骨折的效果比较[J].中国临床研究,2017,30(10):1375-1377.
[12]李浩.股骨近端防旋髓内钉与股骨近端解剖型锁定钢板治疗老年股骨粗隆间骨折的临床研究[J].中外医学研究,2016,14(19):28-30.
[13]杭海峰,汤新兵,马龙驹.加长型PFNA与股骨近端锁定钢板治疗粗隆下骨折的效果比较[J].南通大学学报(医学版)医学版,2017,37(4):389-391.
[14]唐为永.锁定钢板与交锁髓内钉对股骨干粉碎性骨折治疗的效果比较分析[J].航空航天医学杂志,2017,28(5):545-547.
[15]李彦文.PFNA与解剖型锁定钢板内固定治疗老年股骨粗隆间骨折的疗效比较[J].中外医疗,2016,35(18):49-50.
[16]张光前.交锁髓内钉与钢板内固定治疗股骨干骨折效果对比[J].社区医学杂志,2017,15(15):48-49.
[2]邵磊,周君东,程明加,等.成人股骨骨折应用带锁髓内钉和锁定钢板内固定治疗的效果对比[J].当代临床医刊,2015,28(5):1607-1608.
[3]刘伟军,胡奕山,周来喜,等.带锁髓内钉内固定与闭合复位经皮锁定加压钢板内固定治疗闭合性胫骨干骨折的临床疗效[J].深圳中西医结合杂志,2015,25(13):59-60.
[4]余英剑,李桂涛,洪翔,等.经皮微创钢板内固定技术结合锁定加压钢板与股骨近端防旋髓内钉治疗股骨粗隆间骨折的效果比较[J].中国医药导报,2014,11(19):47-50.
[5]陈德明,徐晓阳,王蔚,等.多功能带锁髓内钉和钢板置入内固定修复关节外胫骨创伤性骨折[J].中国组织工程研究,2016,20(4):549-553.
[6]兰伟斌,涂学招,邱汉民,等.逆行交锁髓内钉与股骨远端锁定钢板内固定治疗老年股骨髁上骨折的疗效比较[J].中国现代医生,2016,54(18):73-75.
[7]陈文学,张国忠,郑移兵,等.带锁髓内钉与钢板内固定治疗肱骨干粉碎性骨折[J].实用骨科杂志,2016,11(13):1018-1021.
[8]杨金辉.股骨远端A型与C型骨折采取锁定加压钢板对比逆行髓内钉干预效果评价[J].齐齐哈尔医学院学报,2016,22(11):1018-1021.
[9]何道辉.带锁髓内钉与锁定钢板内固定治疗成人股骨骨折的临床疗效观察[J].现代诊断与治疗,2017,28(4):694-696.
[10]吴华兵,尹金铭,田华强.带锁髓内钉和动力加压钢板内固定治疗股骨干骨折后骨不连的效果比较[J].中国当代医药,2016,23(24):58-61.
[11]苟波,谢晓敏,祁文兵,等.近端防旋髓内钉与近端解剖型锁定钢板治疗老年股骨粗隆间骨折的效果比较[J].中国临床研究,2017,30(10):1375-1377.
[12]李浩.股骨近端防旋髓内钉与股骨近端解剖型锁定钢板治疗老年股骨粗隆间骨折的临床研究[J].中外医学研究,2016,14(19):28-30.
[13]杭海峰,汤新兵,马龙驹.加长型PFNA与股骨近端锁定钢板治疗粗隆下骨折的效果比较[J].南通大学学报(医学版)医学版,2017,37(4):389-391.
[14]唐为永.锁定钢板与交锁髓内钉对股骨干粉碎性骨折治疗的效果比较分析[J].航空航天医学杂志,2017,28(5):545-547.
[15]李彦文.PFNA与解剖型锁定钢板内固定治疗老年股骨粗隆间骨折的疗效比较[J].中外医疗,2016,35(18):49-50.
[16]张光前.交锁髓内钉与钢板内固定治疗股骨干骨折效果对比[J].社区医学杂志,2017,15(15):48-49.