摘要
目的：探索锁定钢板内固定与髓内钉固定用于股骨远端骨折的效果差异。方法：随机选取骨科2011年1月-2016年1月间收治的60例股骨远端骨折患者作为本次研究的对象,将其按照治疗方法分成甲组和乙组,给予甲组30例患者锁定钢板内固定,给予乙组30例患者髓内钉内固定。就两组患者的治疗效果进行对比分析。结果：甲组患者的手术时间短于乙组,但切口长度长于乙组且术中出血量多于乙组,P〈0.05,差异有统计学意义;在骨折愈合上,乙组的愈合时间明显短于甲组,P〈0.05,差异有统计学意义;在膝关节功能优良率上,两组间差异不明显,P〉0.05,差异无统计学意义。结论：股骨远端骨折中髓内钉内固定与锁定钢板内固定均能取得较好的效果,但髓内钉固定能有效缩小切口,减少术中出血量,促进患者骨折的愈合,手术时间相对较长,临床上应结合患者的骨折情况、患者意愿等采取合适的内固定方法。
Objective To explore the locking plate internal fixation with intramedullary nail fixation for distal femur fractures the effect of the differences. Method 60 cases of distal femoral fractures treated in our hospital from January 2011 to January2016 were randomly selected as the subjects of this study,they were divided into groups A and B according to the treatment method,Group A 30 patients given locking plate fixation,group B 30 patients given intramedullary nail fixation. On the therapeutic effect of two groups of patients were analyzed. Results The group of patients with operation time short in group B,but the incision length longer than group B and intraoperative bleeding was higher than that in group B,the difference was statistically significant（ P〈0. 05. On fracture healing,healing Group B was significantly shorter in Group A,the difference was statistically significant（ P〈0. 05）; On the good knee function rate,no significant difference between the two groups,the difference was statistically significant（ P〉0. 05）. Conclusion Intramedullary nail fixation in the distal femoral fractures with locking plate internal fixation can obtain good effect,but the intramedullary nail fixation can effectively narrow incision,less intraoperative blood loss,promote the healing of patients with fracture,the operating time is relatively long,should be combined with clinical fracture of patients,patients will take appropriate methods of internal fixation.
出处
《吉林医学》
CAS
2016年第10期2481-2483,共3页
Jilin Medical Journal
关键词
股骨远端骨折
锁定钢板
髓内钉
固定
Distal Femur Fracture
Locking Plate
Intramedullary Nail
Fixation
