手法闭合复位与小切口复位弹性钉在儿童股骨干骨折治疗中的效果比较

Comparison of closed manipulative reduction and small incision replacement elastic nails in the treatment of pediatric femoral shaft fracture

目的探讨手法闭合复位与小切口复位弹性钉治疗儿童股骨干骨折的临床疗效。方法选取我院收治的儿童股骨干骨折患者52例,随机分为治疗组和对照组,每组26例。对照组给予手法闭合复位治疗;治疗组给予小切口复位弹性钉治疗。治疗后进行3个月随访,比较两组患者手术时间、术中出血量、住院时间、骨折愈合时间等。结果治疗组手术时间、术中出血量、住院时间、骨折愈合时间均少于对照组,两组比较,差异有统计学意义(P<0.05);治疗组疗效显著优于对照组,两组比较,差异有统计学意义(P<0.05)。结论小切口复位弹性钉治疗儿童股骨干股骨具有创口小、出血量低、住院时间短、愈合时间短等特点,可临床推广应用。

Objective To investigate the clinical efficacy of closed manipulative reduction and small incision replacement elastic nails in the treatment of pediatric femoral shaft fracture. Method A total of52 children with femoral shaft fractures were admitted and randomly divided into treatment group and control group,26 cases in each group. Patients in control group were treated with closed manipulative reduction;patients in treatment group were treated with small incision replacement elastic nails. After treatment,a 3-months follow-up was carried; operative time,blood loss,hospital stay,fracture healing time etc. of the two groups were compared. Result The operation time,blood loss,hospital stay,fracture healing time in treatment group were lower than those in the treatment group,the difference was statistically significant（ P〈0. 05）; The clinical effect of the treatment group was significantly better than that of the control group,the difference was statistically significant（ P〈0. 05）. Conclusion Small incision replacement elastic nails used in the treatment children femoral shaft,has the characteristics of small wound,less blood loss,shorter hospitalization time and healing time; it is worthy popularization and application.