摘要
目的探讨超声在四肢骨折闭合复位髓内钉内固定术中的临床应用效果。方法选取2017年6月～2018年8月我院收治的40例四肢骨折患者作为研究对象,按照盲选方法将其分为观察组(n=20)和对照组(n=20)。对照组患者在C型臂X光机透视引导下行骨折闭合复位髓内钉内固定术治疗,观察组患者在高频超声引导下行骨折闭合复位髓内钉内固定治疗。比较两组患者的手术时间、透视次数以及术中出血量,并观察两组患者的初次闭合复位成功率、总闭合复位成功率以及并发症发生情况。结果观察组患者的手术时间明显短于对照组,透视次数以及术中出血量均明显少于对照组,差异有统计学意义(P<0.05)。观察组患者的初次闭合复位成功率、总闭合复位成功率均高于对照组,并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论四肢骨折患者在高频超声引导下行骨折闭合复位髓内钉内固定治疗,能够动态观察骨折形态,减少放射损伤,提高术中初次复位成功率,临床效果显著,值得大力推广和应用。
Objective To explore the clinical effect of ultrasound in closed reduction of limb fractures and in- tramedullary nail fixation.Methods Forty patients with limb fractures from June 2017 to August 2018 treated in our hospital were selected as research objects and divided into observation group (n=20)and control group (n=20)according to the method of blind selection.The control group was treated with closed reduction and intramedullary nail fixation under the guidance of C-arm fluoroscopy and the observation group was treated with closed reduction and in- tramedullary nail fixation under the guidance of high-frequency ultrasound.The operation time,fluoroscopy times and bleeding volume were compared between the two groups.The success rate of primary closed reduction,total success rate of closed reduction and complications were observed.Results The operation time in the observation group was sig- nificantly shorter than that in the control group,the number.of fluoroscopy was significantly fewer that in the control group,the amount of bleeding during operation were significantly less than that in the control group,and the differences were statistically significant (P<0.05).The success rate of primary closed reduction and the total success rate of closed re- duction in the observation group were higher than those in the control group,the incidence rate of complications in the observation group was significantly lower than that in the control group,and the differences were statistically significant (P<0.05).Conclusion High-frequency ultrasound-guided closed reduction and intramedullary nail fixation for extremity fractures can dynamically observe the fracture morphology,reduce radiation damage,and improve the success rate of primary reduction.The clinical effect is remarkable,which is worthy of vigorous promotion and application.
作者
熊国安
傅文婷
XIONG Guo-an;FU Wen-ting(The First Department of Orthopedics,Fengcheng People's Hospital,Jiangxi Province,Fengcheng 331100,China;The Second Department of Orthopedics,Fengeheng People's Hospital,Jiangxi Province,Fengeheng 331100,China)
出处
《中国当代医药》
2018年第35期41-43,共3页
China Modern Medicine
基金
江西省宜春市科技计划项目(JXYC2016KSC041)
关键词
超声扫描
四肢骨折
闭合复位髓内钉内固定术
应用效果
Ultrasound scan
Limb fracture
Closed reduction fixation and intramedullary nail
Application effect
