摘要
目的:探讨和分析手术治疗胫腓骨粉碎开放性骨折的临床疗效,总结其临床价值。方法:回顾性分析2008年10月-2010年10月来笔者所在医院就诊的36例胫腓骨粉碎开放性骨折患者的临床资料,随机分为观察组和对照组,每组18例,观察组采用交锁髓内钉进行治疗,对照组采用加压钢板进行治疗,观察两组患者的疗效。结果:经观察和随访,观察组患者下地活动时间为(3.5±0.8)周,骨折愈合时间为(3.2±0.6)个月,无骨不连和伤口感染的病例出现。对照组患者下地活动时间为(7.2±1.8)周,骨折愈合时间为(5.8±1.1)个月,骨不连患者有3例,伤口感染的患者有4例。经统计检验,两组患者再下地活动时间、骨折愈合时间、骨不连、伤口感染的情况等比较差异有统计学意义(P<0.05)。结论:交锁髓内钉治疗胫腓骨粉碎性骨折疗效显著,安全可靠,是治疗胫腓骨粉碎开放性骨折的有效方法之一,值得临床借鉴和推广。
Objective：To investigate and analyze the surgical treatment of tibia and fibula to smash open fractures of the clinical efficacy and summarize its clinical value.Methods：A retrospective analysis with a complete clinical data from October 2008 to October 2010 to the tibia and fibula of our hospital smash open fractures in patients 36 cases were randomly divided into observation group and control group,each group of 18 patients with The patients in the control group were treated with compression plate for treatment,observation group were treated with interlocking intramedullary nail for treatment.Results：The observation and follow-up to observe the group of patients with ambulation time was（3.5±0.8）weeks,fracture healing time was（3.2±0.6）,nonunion and wound infections.Ambulation of patients with control group activity time was（7.2±1.8） weeks,fracture healing time was（5.8±1.1）months,nonunion patients had three cases and four cases of wound infection in patients by statistical tests,two groups of patients with ambulation,fractures healing time,bone nonunion,wound infection,had significant difference（P0.05）.Observation curative effect was better than control groups.Conclusion：Interlocking intramedullary nailing in the treatment of tibia and fibula comminuted significant effect,safe and reliable is one of the effective way to smash open fractures of tibia and fibula,is worthy of clinical reference and promotion.
出处
《中外医学研究》
2012年第14期20-21,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
胫腓骨骨折
粉碎性骨折
临床疗效
Fracture of tibia and fibula
Comminuted fracture
Clinical efficacy
