摘要
目的:探讨四肢创伤骨折后骨不连患者行带锁髓内钉治疗的手术效果,并观察其并发症情况。方法:选择我院2010年1月至2018年12月收治的86例四肢创伤骨折后骨不连患者为研究对象,其中39例行传统加压钢板固定治疗(A组),47例行带锁髓内钉固定治疗(B组)。比较两组患者的手术情况(手术切口长度、引流量、输血量、手术时间),治疗效果,并发症发生率,并用Fugl-Meyer评分评价术后6个月运动功能恢复情况。结果:B组术中引流量、输血量和手术时间优于A组(P<0.05);B组治疗总有效率明显高于A组(P<0.05),而B组并发症发生率明显低于A组(P<0.05);出院后1m和出院后6m,B组患者Fugl-Meyer评分显著高于A组(P<0.05)。结论:带锁髓内钉治疗治疗四肢创伤骨折后骨不连患者效果理想,术后并发症少,有助于患者运动功能恢复,值得临床推广。
Objective:To discuss the operative effects and related complications of interlocking intramedullary nail in the treatment of nonunion after limb trauma fracture.Methods:Eighty-six patients with nonunion after limb trauma and fracture in our hospital From Jan.2010 to Dec.2018 were selected as the study objects.In those patients,39 treated with traditional compression plate fixation(group A)and 47 treated with interlocking intramedullary nail fixation(group B).The operative condition(Incision length,drainage volume,blood transfusion volume and operation time),therapeutic effectandcomplication rates.And 6 months after operation,Fugl Meyer score was used to evaluate thepostoperative recovery of motor function.Results:The drainage amount,blood transfusion and operation time in group B were better than those in group A(P<0.05).The total effective rate of group B was higher than that of group A(P<0.05).The incidence of complications in group B was lower than that in group A(P<0.05).1 month and 6 months after discharge,the Fugl-Meyer scores in group B were higher than those in group A(P<0.05).Conclusion:The effect of interlocking intramedullary nail in the treatment of nonunion after limb trauma fracture is ideal,and with less postoperative complications.
作者
卿忠华
Qing Zhong-hua(The Second Department of Orthopaedics,The First Affiliated Hospital of Hunan Traditional Chinese Medicine College,Zhuzhou 412000,Hunan,China)
出处
《四川生理科学杂志》
2020年第3期294-297,共4页
Sichuan Journal of Physiological Sciences
关键词
带锁髓内钉
四肢创伤骨折后骨不连
临床效果
并发症
运动功能
Interlocking intramedullary nail
Nonunion after limb trauma fracture
Clinical effect
Complication
Motor function
