两种方法治疗股骨干骨折固定手术前后部分血液指标的比较

Comparison of blood indices in the treatment of femoral shaft fractures with internal rotation bolts self-locking nails and interlocking nails

目的比较在股骨干骨折的治疗中应用旋转臂式自锁髓内钉与带锁髓内钉两种固定方法手术前后部分血液指标的变化。方法回顾性分析本科2002年1月至2008年12月间收治的股骨干骨折采用了髓内钉固定的患者失血量、白细胞(WBC)、血红蛋白(HGB)、红细胞沉降率(ESR)、肌酸激酶(CK)等指标手术前后的变化,其中应用旋转臂式自锁髓内钉固定的32例,应用带锁髓内钉的45例。结果自锁髓内钉组的手术前后失血量、HGB、ESR、CK变化程度明显低于带锁髓内钉组,差异有统计学意义。结论旋转臂式自锁髓内钉治疗股骨干骨折较带锁髓内钉能减轻手术创伤。

Objective To compare the changes of some blood indices in the treatment of femoral shaft fractures with internal rotation bolts self-locking nails and interlocking nails. Methods The cases of femoral--shaft-- fracture patients who were treated with interlocking nails in our department from January 2002 to December 2008 was retrospectively analyzed,including blood loss, white blood cells（WBC）, hemoglobin（HGB）, erythrocyte sedimentation rate（ESR） and creatine kinase（CK）. Out of the 77 cases, 32 were treated with internal rotation bolts selflocking nails and 45 were treated with interlocking nails. Results The indices such as blood loss, HGB, ESR, CK in rotation bolts self-locking nails group showed less changes compared with interlocking nails group, by statistical difference. Conclusion Compared with interlocking nails, using rotation bolts self-locking nails can reduce operative trauma.