胫骨中下段闭合性骨折患者应用交锁髓内钉内固定治疗的疗效观察

Observation of the Curative Effect of Tibia in Patients with Closed Fracture with Interlocking Intramedullary Nail Internal Fixation

目的：探讨胫骨中下段闭合性骨折患者应用交锁髓内钉内固定治疗的临床疗效。方法：选取我院2012年6月-2014年2月期间收治的胫骨中下段闭合性骨折患者100例，随机分为观察组和对照组，每组有患者50例，观察组患者采用交锁髓内钉内固定治疗，对照组患者采用单臂外固定架治疗，比较2组患者的手术时间、出血量、骨折愈合时间，并跟踪随访6个月，根据Mazur评分，比较2组患者的预后恢复效果。结果：观察组患者的手术时间、出血量、骨折愈合时间均明显少于对照组患者（P〈0．05），且观察组患者的预后恢复效果明显优于对照组患者（P〈0．05）。结论：胫骨中下段闭合性骨折患者应用交锁髓内钉内固定治疗具有良好的临床疗效，值得推广应用。

Objective： To investigate the clinical efficacy of middle lower segment of closed tibial fractures treated with interlocking in- tramedullary nail internal fixation. Methods： Selected in our hospital from 2012 June to 2014 year of distal tibial fracture admitted closed during February 100 patients, randomly divided into observation group and control group, each group has 50 cases, the observation group were treated by interlocking intramedullary nails in the treatment, patients in control group were treated by unilateral external fixation in the treatment of operation time, comparison two groups of patients, the amount of bleeding, the time of fracture healing, and followed up for 6 months, according to the Mazur score, recovery effect comparison of prognosis of the patients in two groups. Results： To observe the operation time, amount of bleeding, patients with fracture healing time were significantly less than that of the control group patients （ P 〈 0. 05）, and the observation group patients prognosis recovery effect is obviously better than that of patients in the control group （ P 〈 0. 05）. Conclusion： Patients with distal tibial application has good clinical effects of interlecking intramedullary nails in the treatment of closed fracture, and is worthy of popularization and application.