弹性髓内钉治疗小儿股骨干骨折的临床疗效

Clinical effect of elastic intramedullary nail in the treatment of femoral shaft fracture in children

目的探讨弹性髓内钉治疗小儿股骨干骨折的临床疗效。方法选取2019年7月至2020年10月本院收治的62例股骨干骨折患儿作为研究对象,随机分为观察组与对照组,各31例。对照组应用闭合复位夹板外固定治疗,观察组应用弹性髓内钉治疗,比较两组围手术期指标、临床疗效、Harris评分、生活自理能力及并发症发生情况。结果观察组术中出血量少于对照组,手术时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率为96.77%,高于对照组的80.65%,差异有统计学意义(P<0.05)。观察组并发症发生率为3.23%,低于对照组的22.58%,差异有统计学意义(P<0.05)。治疗前,两组Harris评分、日常活动能力评分比较差异无统计学意义;治疗后,两组Harris评分、日常活动能力评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论弹性髓内钉治疗股骨干骨折疗效确切,可缩短患儿住院时间,且安全性较高,值得临床推广应用。

Objective To investigate the clinical efficacy of elastic intramedullary nail in the treatment of femoral shaft fractures in children.Methods 62 children with femoral shaft fractures admitted to our hospital from July 2019 to October 2020 were selected as the research subjects,and they were randomly divided into the observation group and the control group,with 31 cases in each group.The control group was treated with closed reduction and splint external fixation,and the observation group was treated with elastic intramedullary nail,the perioperative period indicators,clinical efficacy,Harris score,self-care ability and complications were compared between the two groups.Results The intraoperative blood loss in the observation group was less than that in the control group,and the operation time and hospitalization time were shorter than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate in the observation group was 96.77%,which was higher than 80.65%in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 3.23%,which was lower than 22.58%in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in Harris score and daily activity score between the two groups;after treatment,the Harris score and daily activity score of the two groups were higher than those before treatment,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion Elastic intramedullary nails are effective in treating femoral shaft fractures,can shorten the childrens'hospitalization time,and have high safety,which is worthy of clinical promotion and application.