专家型胫骨髓内钉治疗胫骨干骺端骨折的可行性及安全性.pdfVIP

中国当代医药 2016 年8 月第 23 卷第24 期 ·骨科医学· 专家型腔骨髓内钉治疗腔骨于锅端骨折的可行性 及安全性 莫景生 叶永胜 梁浩标 广东省东莞市中医院骨5 科，广东东莞 523制 [摘要}目的探讨专家型腔骨髓内钉治疗腔骨干筒端骨折的可行性及安全性。 方法选取2013 年 12 月-2015 年 12 月 我院收治的 84 例腔骨干儒端骨折患者，随机分为研究组和对照组，每组42 例。对照组进行有限切开锁定铜板内 固定术治疗，研究组进行专家型腔骨髓内钉内固定术治疗。 比较两组患者手术时间、术中出血量、住院时间、完全 负荷时间，Joher-Wruhs 疗效优良率及并发症发生率的差异。结果两组患者手术时间、术中出血量比较无统计学 差异(PO.05) ;研究组住院时间、完全负荷时间均比对照组短(P0.05);治疗后5 周，研究组Joher-Wruhs.疗效优 良率比对照组·高(P0.05) 。两组均无伤口感染、骨折愈合畸形等并发症发生。结论专家型腔骨髓内钉治疗腔骨干 儒端骨折疗效好，术后康复快，无并发症发生，安全可靠。 [关键词]专家型应骨钝内钉;庭骨干后棉骨折:锁定钢板;J04er-W ruhs 疗效 [申困分类号] R687.3 [文献标iR码] A [文章编号] 1674-4721 (2016)08(c)-∞49-心3 Feasibility and safety of Expert tibial intramedullary. nail treaiment , for Tibial metaphy能al fractures patients MO ling-sheng YE Yo咱-sheng UANG H.ω-biao Dep缸tment of F泊h Orthopaedics,Traditional Chinese .Medicine of Dongguan,Guangdong Province,Dongguan 523仪泊， China [Abstract]ObJective To investigate feasibility and safety of expert tibial intrame~ullary nail lr创tment for tibial meta- physeal fractures patients.Meth创Is In 0町 hospital，84 cases of tibial metaphyseal fractures patients from December 2013 to December 2015 we陀 randomly divided into research group and control group,42 cωes in each group.Control group were treated limited open locking plate fixation,while research group were treated with expert tibial in- tramedullary nail fixation.The operation time，blωd loss,hospital stay time ,fullload timeJoher-Wruhs effect and ∞mpli­ cation rate of the two groups were com归red.臼0115 There was no significant difference in operatíon time and bl∞d loss between 由e two groups (P0.05).The hospital stay time and full load time of research group wer