交锁髓内钉与钢板治疗120例股骨干骨折的临床分析

The clinical analysis of interlocking intramedullary nail and plate internal fixation of on 120 cases with femoral shaft fracture

目的:探讨交锁髓内钉与钢板内固定对120例成年人股骨干骨折的治疗疗效。方法:选择2010年1月—2014年1月收治的成年人股骨干骨折患者120例,按患者的治疗方法分为髓内钉组(70例)与钢板组(50例),结果:髓内钉组和钢板组的住院天数、骨折愈合时间、平均手术时间、术中出血量、浅表感染发生率、骨折延迟愈合率、骨折不愈合率、再手术率、内固定物断裂率、术后功能优良率比较,差异有统计学意义(P<0.05)。结论:交锁髓内钉治疗成年人股骨干骨折较钢板内固定效果好,可明显缩短住院天数、骨折愈合时间、平均手术时间以及减少术中出血量;有效降低骨折延迟愈合率、浅表感染发生率、骨折不愈合率和再手术率,改善术后肢体功能恢复质量和效率。

Objective：To explore the clinical analysis of interlocking intramedullary nail and plate internal fixation of on120 cases. Methods：All 120 cases of adult patients with femoral shaft fracture are selected from 2010 January to 2014 January in the first people＇s hospital of Yangquan. They were were divided into intramedullary nail（70 cases） and plate group（60 cases） according to treatment method. Results：The length of hospital stay,fracture healing time,average operation time,intraoperative blood loss,incidence of superficial infection,delayed healing rate,nonunion rate,reoperation rate,the rate of internal fixation breakage,the rate of good postoperative function of two groups has significient difference（ P〈0. 05）. Conclusion：The treatment effect of interlocking intramedullary nails is better than the plate internal fixation for the treatment of adult femoral fracture. It can significantly shorten length of hospital stay,fracture healing time and average operation time,intraoperative blood loss. It reduces fracture healing time,superficial infection rate,delayed healing rate,nonunion rate and reoperation rate. It also improves the excellent and good rate of limb function. It is recommended that interlocking intramedullary nails should be widely used in the treatment of adult femoral shaft fracture in clinic practice.