三种内固定处理股骨远端骨折的临床疗效比较.docVIP

三种内固定处理股骨远端骨折的临床疗效比较 　　【摘要】 目的：研究顺行髓内钉、逆行髓内钉、锁定加压钢板三种内固定方法处理股骨远端骨折患者的效果。方法：选取本院2011年2月-2015年4月间的65例股骨远端骨折患者，随机分为三组，分别采用顺行髓内钉、逆行髓内钉和锁定加压钢板三种内固定。对三组的手术时间、术中出血量等观察指标进行比较，并且应用Harris评分系统对三组术后的康复情况展开疗效评价。结果：经过三种内固定手术治疗后，逆行髓内钉组的Harris评分、手术时间、术中出血量均明显优于另外两组，差异均有统计学意义（P0.05）。结论：股骨远端骨折行顺行髓内钉以及锁定加压钢板内固定的处理效果均劣于逆行髓内钉，并且后者具有手术时间短、术中出血量较少等优势，对患者术后早期恢复膝关节功能有一定优势。 　　【关键词】 顺行髓内钉； 逆行髓内钉； 锁定加压钢板； 内固定； 股骨远端骨折 　　【Abstract】 Objective： To study the effects of distal femoral fractures patients treated by three methods of internal fixation with anterograde intramedullary nail， retrograde intramedullary nailing and locking compression plate.Method：65 patients with distal femoral fractures in our hospital were selected from February 2011 to April 2015，they were randomly divided into three groups，they were given three kinds of internal fixation，anterograde intramedullary nailing， retrograde intramedullary nail and locking compression plate respectively. The operation time and bleeding volume of the three groups were compared，arris scoring system was applied to three groups for postoperative rehabilitation efficacy evaluation. Result： After three kinds of internal fixation treatment， the Harris score， operation time and bleeding volume of the retrograde intramedullary nail group were significantly better than the other two groups，the differences were statistically significant（P0.05）.Conclusion：The treatment of distal femoral fractures with intramedullary nail and locking compression plate internal fixation are inferior to retrograde intramedullary nailing， and the latter has advantages of short operation time and less bleeding， as well as helping the patients to recover the knee function at the early period of postoperation. 　　【Key words】 Anterograde intramedullary nail； Retrograde intramedullary nail； Locking compression plate； Internal fixation； Distal femoral fractures 　　First-author’s address：Hospital of Traditional Chinese Medicine of Qiqihar，Qiqihar 161000，China 　　doi：10.3969/j.iss