摘要
目的:比较微创内固定系统(LISS)钢板与逆行交锁髓内钉治疗股骨髁上骨折的疗效。方法:选取本院收治的股骨髁上骨折患者80例为研究对象。依据随机数表法将其分为观察组和对照组,各40例。观察组使用LISS钢板治疗,对照组予以逆行交锁髓内钉治疗。观察两组术前及术后10个月的下肢运动功能[Fugl-Meyer评定量表(FMA)]、日常生活活动能力[日常生活活动能力量表(ADL)]和生活质量[健康调查简表(SF-36)]评分变化,分析两组患者围术期情况差异,比较术后10个月时两组患者临床疗效及术后10个月内并发症发生情况。结果:术后10个月时,观察组临床疗效优于对照组(Z=2.592,P=0.010),且观察组治疗优良率显著高于对照组(χ^2=4.713,P=0.030)。观察组术中出血量多于对照组,手术时间短于对照组,切口长度长于对照组,差异均有统计学意义(P<0.05);两组出院标准时间比较,差异无统计学意义(P>0.05)。术后10个月,两组FMA、ADL及SF-36各维度评分均较术前显著升高,且观察组均明显高于对照组,差异均有统计学意义(P<0.05)。术后10个月内,观察组并发症发生率为5.00%,明显低于对照组的20.00%(P<0.05)。结论:对于股骨髁上骨折患者采用LISS钢板治疗其临床治疗效果较佳,可有效改善患者膝关节功能,令其下肢运动功能得到快速恢复,患者生活能力和生活质量随之提升,且应用LISS钢板治疗术后并发症较少,具有较高临床应用价值,但术中产生创伤较大,可结合患者实际需求采用。
Objective:To compare the effect of Less Invasive Stabilization System(LISS)plate and retrograde interlocking intramedullary nail in the treatment of supracondylar fracture of femur.Method:A total of 80 patients with supracondylar fracture of femur in our hospital were selected as the research objects.According to the method of random number table,they were divided into observation group and control group,40 cases in each group.LISS plate was used in the observation group and retrograde interlocking intramedullary nail was used in the control group.Before and 10 months after operation,the scores of lower extremity motor function[Fugl Meyer Rating Scale(FMA)],activity of daily living(ADL)and quality of life(SF-36)in the two groups were observed.The difference of perioperative conditions between the two groups was analyzed.The clinical efficacy at 10 months after operation and complications within 10 months after operation of the two groups were compared.Result:At 10 months after operation,the clinical effect of the observation group was better than that of the control group(Z=2.592,P=0.010),and the excellent rate of the observation group was significantly higher than that of the control group(χ^2=4.713,P=0.030).The intraoperative blood volume of the observation group was more than that of the control group,the operation time was shorter than that of the control group,and the incision length was longer than that of the control group,the differences were statistically significant(P<0.05),there was no significant difference between the two groups in discharge standard time(P>0.05).At 10 months after operation,the scores of FMA,ADL and SF-36 in the two groups were significantly higher than those before operation,and the scores in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Within 10 months after operation,the incidence of complications in the observation group was 5.00%,significantly lower than that in the control group(P<0.05).Conclusion:LISS plate is effective in the treatment of supracondylar fracture of femur.It can improve the function of knee joint,recover the motor function of lower limbs,improve the living ability and quality of life of patients.LISS plate has less postoperative complications and higher clinical application value,but the trauma during the operation is relatively large,which can be used in combination with the actual needs of patients.
作者
万平凡
WAN Pingfan(Jieyang Hospital of Traditional Chinese Medicine,Jieyang 522000,China)
出处
《中国医学创新》
CAS
2020年第12期16-20,共5页
Medical Innovation of China
关键词
股骨髁上骨折
LISS钢板
逆行交锁髓内钉
Supracondylar fracture of femur
LISS plate
Retrograde interlocking intramedullary nail
