交锁髓内钉治疗股骨干骨折76例治疗体会.docVIP

交锁髓内钉治疗股骨干骨折76例治疗体会 In 76 cases of interlocking intramedullary nailing for femoral fracture treatment 杨争艳 (瑞金市人民医院 江西 瑞金 342500） Zhengyan Yang (the peoples Hospital of Ruijin, Jiangxi, Ruijin 342500) 【摘要】目的 探讨交锁髓内钉治疗股骨干骨折的方法并评价其临床效果。方法 选取2010年7月～2012年7月来我院治疗股骨干骨折的76例患者进行分析，排除不符合标准的患者，随机分成两组，对照组给予钢板内固定治疗，治疗组给予髓内钉内固定治疗，并对其治疗效果进行分析。结果 治疗组二个月后总有效率为94.7%，明显优于对照组55.3%，存在统计学意义（P0.05）。结论 通过对2组患者的临床治疗观察发现，交锁髓内钉是一种理想的内固定选择物，在治疗股骨干骨折方面安全有效，具有局部损伤面积小、切口小、稳定固定、愈合效果良好、术后并发症少等特点，值得在临床上进一步推广应用。 【关键词】交锁髓内钉；股骨干骨折；临床效果 Objective to investigate the interlocking intramedullary nail in treatment of femoral shaft fractures and evaluate its clinical effect. Methods 76 cases of 2010 July to 2012 July in our hospital for treatment of femoral shaft fracture were analyzed, does not meet the criteria were excluded, were randomly divided into two groups, control group treated with plate internal fixation for the treatment, treatment group was treated with intramedullary nail in the treatment, and the treatment effect was analyzed. Results the treatment group after two months, the total effective rate was 94.7%, significantly better than the control group 55.3%, there were statistical significance (P0.05). Conclusion through the observation of clinical treatment of 2 groups of patients, interlocking intramedullary nail is an ideal internal fixation choice, in the treatment of femoral shaft fractures is safe and effective, has the characteristics of local damage area is small, small incision, stable fixation, healing effect is good, less postoperative complications, worthy of further application in clinical. Keyword interlocking intramedullary nail; femoral shaft fracture; clinical effect 为了寻找安全有效的治疗途径，本文选取了2010年7月～2012年7月间来我院就诊的76例股骨干骨折患者作为研究对象，采用两种不同的实验方案进行治疗研究，具体药学分析结果报道如下。 材料与实验方法 1.1应用资料 资料来源于2010年7月～2012年7月来我院就诊的76例股骨干骨折的患者，随机分成两组，每组38例。治疗组男18例，女20例，年龄20～70岁，平均（49.5±11.5）岁；对照组男19例，女19例，年龄18～76岁，平均（50.5±10.5）岁；在76例患者中，股骨上1/3骨折者38例，股骨中1/3骨折者23例，股骨下1/3骨折者15例；两组患者性别、年龄、等一般资料经过统计学处理，差异无统计学意义(P＞