摘要
目的探讨胫骨髓内钉进针点取骨方法及其临床应用价值。方法随机抽选80例胫骨骨折患者,将其随机分为两组,研究组(n=40)使用胫骨髓内钉开髓点的取骨进行植骨及胫骨髓内钉固定治疗,对照组(n=40)断端胫骨髓内钉固定治疗。评价及对比两组的临床疗效。结果研究组的出血量、下床活动时间均短于对照组(P<0.05),手术时间略长于对照组;相比于对照组,研究组的骨折愈合时间明显缩短(P<0.05);研究组的术后疼痛、并发症事件低于对照组(P<0.05)。结论根据胫骨骨折患者病情特点,选取不同髓内钉进针点和取骨方法,能显著提升治疗效果,缩短骨折愈合时间,降低并发症发生率。
Objective To investigate the method of bone extraction and the clinical application value of intramedullary nailing. Methods Eighty patients with tibiofibular fractures were randomly selected and randomly divided into two groups. The study group(n =40) was treated with bone grafting and intramedullary nailing. The control group was treated with tibial bone marrow nail fixation. Evaluate and compare the clinical efficacy of the two groups. Results The amount of bleeding and the time of getting out of bed in the study group were shorter than those in the control group(P<0.05), and the operation time was slightly longer than that in the control group. Compared with the control group, the fracture healing time in the study group was significantly shorter(P<0.05), and the postoperative pain and complications in the study group were lower than those in the control group(P<0.05). Conclusion According to the characteristics of patients with tibiofibular fractures, the selection of different intramedullary nail insertion points and bone extraction methods can significantly improve the treatment effect, shorten the fracture healing time and reduce the incidence of complications.
作者
陈正红
王科
余国政
刘涛
曾彤
CHEN Zheng-hong;WANG Ke;YU Guo-zheng;LIU Tao;ZENG Tong(Xingwen County People’s Hospital,Xingwen,Sichuan 644400)
出处
《智慧健康》
2019年第5期75-76,共2页
Smart Healthcare
关键词
胫骨骨折
胫骨髓内钉
进针点
取骨方法
Humeral fracture
Intramedullary nail
Needle insertion point
Bone extraction method
