带锁髓内钉治疗股骨干骨折临床效果评价

Clinical effect assessment of take intramedullary nailing treatment femoral fractures

目的观察股骨干骨折不同内固定手术治疗效果差异,探讨带锁髓内钉治疗的临床价值。方法 2007年1月至2010年11月股骨干骨折患者120例,按就诊时间顺序,将就诊的前60例患者分为髓内钉组,后60例患者列为钢板组,分别实施相应的内固定手术治疗。结果髓内钉组术中失血量、手术时间、住院时间、手术后并发症均少于钢板组(P<0.05),两组随访时间4个月至3年,平均(38.13±6.78)月,最终功能评价按髓内钉组总有效率96.67%高于钢板组的86.67%(P<O.05)。结论交锁髓内钉具有创伤小、骨折愈合率高等优点,是治疗股骨干骨折的理想内固定之一。

Objective Observe femoral fractures fixed in different surgical treatment effect difference, discusses with intramedullary nail- ing therapeutic value. Methods 2007 January - November 2010 in femoral fractures 120 patients with clinical time sequence into intramedullary nailing group and steel groups were implementing internal fixation operation. Results Intramedullary nailing group of intraoperatie blood loss, the timing of the operation, the length of time after surgery, complications are less than steel group days （ P 〈 0.05 ）, two groups of follow - up time four months to 3 years, average （38.13 ± 6.78 ） months, eventually function evaluation by intramedullary nailing group total effective 96.67% higher than the 86.67 % steel group （ P 〈 0.05 ）. Conclusion Intramedullary nailing with small trauma, high rate of fracture healing the advantages, is the treatment femoral fractures in one of the ideal of fixed.