胫骨骨不连行髓内钉固定植骨和钢板内固定植骨的临床效果比较

Comparison study of tibial intramedullary nailing and bone grafting and internal fixation clinical effect of nonunion line

目的 探讨髓内钉固定植骨和钢板内固定植骨治疗胫骨骨不连的临床疗效。方法 选择2013年5月~2014年8月,我院收治的200例胫骨骨不连患者,随机把患者分为两组（研究组、对照组）,研究组患者是采用髓内钉固定植骨治疗,对照组患者是采用钢板内固定植骨治疗,治疗后比较两组患者的临床疗效。结果 治疗后,研究组有94.00%的患者恢复良好,对照组有80.00%的患者得以恢复,骨骼愈合上,研究组愈合时间短于对照组,两组临床疗效进行比较,研究组治疗效果更佳,两组比较差异有统计学意义（P〈0.05）。结论 髓内钉固定植骨治疗胫骨骨不连,治疗效果比采用钢板内固定植骨治疗更理想,改善患者的病情,促进患者快速康复。

Objective To investigate the clinical efficacy of intramedullary nail fixation and bone grafting treatment of tibial nonunion with plate. Methods 200 cases of tibial nonunion patients of our hospital from May 2013 to August 2014 were selected. Patients were randomly divided into two groups （study group and the control group）, the study group were given ntramedullary nail fixation and treatment, the control group were given plate fixation and bone graft treatment, after a period of treatment, clinical efficacy of the two groups of patients were analyzed. Results After a period of treatment, the study group had 94.00% of the patients recovered well, the control group had 80.00% of the patients recovered well. On the bone healing, the study group＇s healing time was shorter than the control group. To be compared, the clinical efficacy study was better than treatment group, there were significant difference between two groups, and it had statistically significance （P 〈 0.05）. Conclusion The treatment of intramedullary nailing of tibial bone nonunion treatment is better than the use of plate fixation and bone graft treatment, it can improve the patient＇s condition,and promote rapid recovery of patients.