| 陈连，高连云，阮康明，陈雁华.两种内固定术在股骨干骨折患儿治疗中的应用效果比较[J].实用中西医结合临床,2021,21(21):9-11 |
| 两种内固定术在股骨干骨折患儿治疗中的应用效果比较 |
| Clinical Comparison of Application Effect of Two Kinds of Internal Fixation in the Treatment of Femoral Shaft Fracture in Children |
| |
| DOI： |
| 中文关键词: 股骨干骨折 小儿 弹性髓内钉 切开复位锁定加压钢板 预后 |
| 英文关键词: Elastic intramedullary nail Open reduction locking compression plate Children Femoral shaft fracture |
| 基金项目: |
|
| 摘要点击次数: 195 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的：比较弹性髓内钉、切开复位锁定加压钢板两种内固定术在股骨干骨折患儿治疗中的应用效果。方法：回顾性分析2018年6月~2020年12月收治的80例股骨干骨折患儿病历资料，根据内固定方式不同分为对照组（40例）和观察组（40例）。对照组给予切开复位锁定加压钢板内固定，观察组给予弹性髓内钉内固定，比较两组术中相关指标、术后骨折愈合时间、术后完全负重时间、关节功能以及并发症发生情况。结果：观察组患儿术中出血量少于对照组，切口长度、手术时间、完全负重时间均短于对照组，差异显著（P＜0.05）；观察组患儿骨性愈合时间短于对照组，骨折愈合优良率明显高于对照组，差异显著（P＜0.05）；观察组患儿治疗后膝关节功能评分、膝关节活动度均明显优于对照组（P＜0.05）；观察组患儿治疗后髋关节功能明显优于对照组（P＜0.05）；观察组术后未出现明显并发症，对照组术后出现骨不连3例、过度生长2例、成角1例，并发症发生率为12.00%（6/50），两组比较差异显著（P＜0.05）。结论：小儿股骨干骨折给予弹性髓内钉内固定治疗效果显著，术中创伤相对较小，术后骨折愈合效果好，并发症少。 |
| 英文摘要: |
| Objective To compare the Application effect of elastic intramedullary nail and open reduction locking compression plate in the treatment of femoral shaft fracture in children. Methods: Retrospective analysis was performed on the case data of 80 children with femoral shaft fracture admitted to our hospital from June 2018 to December 2020. According to different internal fixation methods, the case data were divided into control group (n=40) and observation group (n=40). The control group was treated with open reduction locking compression plate fixation, and the observation group was treated with elastic intramedullary nail fixation. The differences of intraoperative indicators, postoperative fracture healing time, complete weight-bearing time, joint function and complications were compared between the two groups. Results: The amount of intraoperative blood loss in the observation group was smaller than that in the control group, incision length and the operation time and complete weight-bearing time were shorter than those in the control group, with significant differences (P＜0.05). The bone healing time of the observation group was shorter than that of the control group, and the excellent and good healing rate was 100%, which was significantly higher than that of the control group. Lysholm score and knee motion in the observation group were significantly better than those in the control group after treatment (P＜0.05). The hip function of the observation group was significantly better than that of the control group (P＜0.05). There were no obvious complications in the observation group, and 3 cases of bone nonunion, 2 cases of overgrowth and 1 case of angulation in the control group, with a complication rate of 12.00% (6/50), the difference between the two groups was significant (P＜0.05). Conclusion: Elastic intramedullary nail internal fixation has a significant effect on pediatric femoral shaft fracture, with relatively small intraoperative trauma, good postoperative fracture healing effect and fewer complications. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
