摘要
目的分析胫骨干骨折实施不同入路髓内钉固定治疗的临床效果。方法整群选取该院于2015年2—12月期间收治的胫骨干骨折患者56例,将其随机分为两个组别,均行髓内钉固定手术,其中对照组(经髌韧带入路)、试验组(髌上入路)各28例。观察临床疗效,比较膝关节功能和术后疼痛情况。结果两组在手术时间、术中出血量、骨折愈合时间上对比差异无统计学意义(P>0.05)。试验组膝关节功能优良27例(96.4%);高于对照组22例(78.6%);且患者术后膝关节未发生疼痛比例(85.7%)高于对照组(60.7%)。差异有统计学意义(P<0.05)。结论对于胫骨干骨折患者而言,髓内钉固定手术采用髌上入路、经髌韧带入路均有良好的效果,其中前者能够改善膝关节功能,减轻术后疼痛程度,值得优先选用。
Objective To analyze the clinical effect of intramedullary nailing via different approaches in the treatment of tibial shaft fractures. Methods 56 cases with tibial shaft fractures admitted in our hospital from February to December 2015 were selected and randomly divided into two groups, the control group and the experimental group with 28 cases in each.Patients in the control group were treated by intramedullary nailing via transpatellar tendon approach, while those in the experimental group were treated by intramedullary nailing via suprapatellar approach. The clinical efficacy was observed in both groups. And the knee joint function and degree of postoperative pain of the groups were compared. Results There were no statistically significant differences in the duration of procedure, intraoperative blood loss, and fracture healing time between the two groups（P 〉0.05）. The number of patients with good and excellent knee joint function was more in the experimental group than that in the control group [27 cases（96.4%） vs 22 cases（78.6%）] with statistically significant difference between the two groups（P 0.05）. The proportion of patients without postoperative knee joint pain was much higher in the experimental group than that in the control group（85.7% vs 60.7%）, the difference was statistically significant（P〈0.05）. Conclusion Intramedullary nailing via either suprapatellar approach or transpatellar tendon approach can achieve good treatment effect in the treatment of tibial shaft fracture patients, but the former treatment is worthy of preferable selection for it can improve the knee joint function and reduce the degree of postoperative pain.
出处
《中外医疗》
2016年第6期4-6,共3页
China & Foreign Medical Treatment
关键词
胫骨干骨折
髓内钉固定
膝关节功能
疼痛程度
Tibial shaft fracture
Intramedullary nailing
Knee joint function
Degree of pain
