用髓内钉内固定术和锁定加压钢板内固定术治疗胫骨下段骨折的疗效对比

Intramedullary nail and locking compression plate fixation in treatment of tibial fractures

目的:对比分析用髓内钉内固定术与锁定加压钢板内固定术治疗胫骨下段骨折的临床效果。方法:对2011年1月~2013年1月期间我院收治的80例胫骨下段骨折患者的临床资料进行回顾性研究。我们将这80例患者随机分为A组和B两组,每组各有40例患者。我院给A组患者使用髓内钉内固定术进行治疗,给B组患者使用锁定加压钢板内固定术进行治疗。治疗结束后,比较两组患者手术的效果、用时、术中的出血量和住院的时间。结果:A组患者中手术效果为优者有16例,手术效果为良者有21例,手术效果为一般者有2例,手术效果为差者有1例,手术效果的优良率为92.5%。B组患者中手术效果为优者有13例,手术效果为良者有20例,手术效果为一般者有5例,手术效果为差者有2例,手术效果的优良率为82.5%。A组患者手术效果的优良率明显高于B组患者,二者相比差异具有显著性(P<0.05)。A组患者手术的用时、术中的出血量和住院的时间分别为77.57±7.28 min、284.05±12.02 ml和10.11±1.88d。B组患者手术的用时、术中的出血量和住院的时间分别为97.83±8.89 min、408.57±12.77 ml和14.88±2.63d。A组患者手术的用时、术中的出血量和住院的时间均明显少于B组患者,二者相比差异具有显著性(P<0.05)。结论:与进行锁定加压钢板内固定术相比,用髓内钉内固定术治疗胫骨下段骨折的疗效更好,而且能有效地减少患者手术的时间和术中的出血量,缩短其住院的时间。进行髓内钉内固定术可作为治疗胫骨下段骨折的首选方法。

Objective To compare the effect of compression plate fixation and intramedullary nails in the treatment of tibial fracture. Methods 80 cases of tibia treated in this hospital in 2011 January to 2013 January during the fracture of lower section of patients as the observation object, which divided the concrete method of treatment for A, B two groups, each group had 40 patients; among the patients who received A treatment of intramedullary nail, B patients the locking compression plate fixation;treatment effect, operation time, intraoperative bleeding volume were compared. Results treatment A group in the operation time, amount of bleeding, hospitalization time and other aspects of a significant advantage compared with B group, the difference was significant (P<0.05); in the treatment effect is the joint function recovery as well as A group than in B group, the difference was significant (P<0.05). Conclusion in the treatment of tibial fracture intramedullary nail in treatment of actual effect is better than that of locking compression plate fixation, so consider using intramedullary nail in the treatment of such treatment should be in the treatment of tibial fracture.