摘要
目的 比较3种不同固定方式对股骨创伤骨折后骨不连的临床疗效。 方法 纳入该院2013年4月至2016年12月期间收治的60例股骨创伤骨折后骨不连患者为本次研究对象,将其分为研究1组、研究2组和研究3组进行治疗,每组20例,研究1组采用带锁髓内钉进行固定,研究2组采用动力加压钢板进行固定,研究3组采用外固定架进行固定,观察3组患者术后骨折愈合时间、术中出血量、术后引流量、手术切口长度及手术时间。 结果 骨折愈合时间,研究1组(18~29)周,平均(23.33±5.02周),研究2组(24-39)周,平均(33.34±5.69周),研究3组(22~34)周,平均(28.97±4.86周),组间数据有统计学差异( P 〈0.05);术中出血量研究1组(230~380)mL,平均(359.08±99.03),研究2组(350~490)mL,平均(473.32±100.01),研究3组(160~300)mL,平均(290.83±96.03),组间数据有统计学差异( P 〈0.05);术后引流量,研究1组(62~120)mL,平均(89.69±23.85),研究2组(130~230)mL,平均(178.59±39.01),研究3组(40~90)mL,平均(65.03± 17.06 ),组间数据有统计学差异( P 〈0.05);手术切口长度,研究1组(11~22)cm,平均(16.63±3.77),研究2组(11~24)cm,平均(17.29±4.01),研究3组(8~16)cm,平均(12.35±2.53)cm,组间数据有统计学差异( P 〈 0.05 );手术时间,研究1组(100~180)min,平均(139.95±36.85)min,研究2组(116~210)min,平均(160.25±39.88)mon,研究3组(44~105)min,平均(75.44±23.01)min,组间数据有统计学差异( P 〈0.05)。 结论 股骨创伤骨折后骨不连患者采用带锁髓内钉固定方式,可显著缩短骨折愈合时间,减少术中出血及引流量。
Objective: To compare the clinical effect of three different fixation methods on fracture of femoral trauma. Methods : In our hospital between April 2013 and December 2013,admitted during the period of 60 patients with bone nonunion after traumatic femoral fractures as the study object,it can be divided into study group 1,2 and 3 groups for treatment,20 cases in each group,and study 1 set of fixed with intramedullary nail with a lock,and study 2 set of fixed with dynamic compression plate,and some studies three groups of fixed with external fixator,and observe the three groups of patients with postoperative fracture healing time,intraoperative blood loss,postoperative flow,and surgical incision length of time. Results : Fracture healing time,study 1 group (18 to 29) weeks,the average (23.33±5.02 weeks),research group (24-39) 2 weeks,the average (33.34±5.69 weeks),the research on three groups (22-34) weeks,the average (28.97±4.86 weeks),between groups,data statistically significant ( P 〈0.05);Intraoperatie blood loss research group 1 ml (230-380),the average (359.08±99.03),the two groups (350-490 ml),average (473.32±100.01),the three groups (160-300 mL),average (290.83±96.03),between groups,data statistically significant ( P 〈0.05);Had the traffic,the research group 1 ml (62-120),the average (89.69±23.85),the two groups (130-230 mL),average (178.59±39.01),the three groups (40-90 mL),average (65.03±17.06),between groups,data statistically significant ( P 〈0.05);Incision length,the study group (11-22) 1 cm,the average (16.63± 3.77 ),the two groups (11-24) cm,average (17.29±4.01),the three groups (8-16) cm,average ( 12.35± 2.53 ) cm,between groups,data statistically significant ( P 〈0.05);Operation time,the study group (100-180),1 min,the average (139.95±36.85) min,the two groups (116-210)min,average (160.25±39.88) mon,the three groups (44-105),min,average (75.44±23.01) min,between groups,data statistically significant ( P 〈0.05). Conclusion: After fracture of femur fracture,the patients with bone inpatients with intramedullary nail fixation can significantly shorten the time of fracture healing and reduce intraoperative bleeding and drainage.
作者
李金平
汪辉
张崇彬
LI Jinping;WANG Hui;ZHANG Chongbin(Surgical surgery,Shuikou People′s Hospital,Huicheng District,Huizhou City,Guangdong Province 516000,China)
出处
《国际检验医学杂志》
CAS
2018年第A01期181-183,共3页
International Journal of Laboratory Medicine
关键词
股骨创伤骨折
3种固定方式
骨不连
fracture of femur
3 kinds fixed wethods
nonunion of bone