胫腓骨骨折给予交锁髓内钉及外固定支架临床干预效果评价.docVIP

胫腓骨骨折给予交锁髓内钉及外固定支架临床干预效果评价 　　【摘要】 目的：评价胫腓骨骨折给予交锁髓内钉及外固定支架的临床干预效果。方法：选取笔者所在医院2014年3月-2016年2月确诊并收治的胫腓骨骨折患者130例，随机分为研究组和对照组，每组65例，对照组给予外固定支架复位治疗，研究组给予交锁髓内钉术治疗，比较两组疗效、骨折愈合时间及术后并发症。结果：研究组优良率为89.23%，明显高于对照组的70.77%，差异有统计学意义（P0.05）；研究组骨折愈合时间显著短于对照组（P0.05）；研究组术后并发症发生率为3.08%，显著低于对照组的27.69%，差异有统计学意义（P0.05）。结论：胫腓骨骨折给予交锁髓内钉治疗效果显著，能加速骨折愈合，减少并发症。 　　【关键词】 胫腓骨骨折； 交锁髓内钉； 外固定支架 　　doi：10.14033/j.cnki.cfmr.2017.32.010 文献标识码 B 文章编号 1674-6805（2017）32-0021-02 　　Evaluation of Clinical Intervention Effect of Interlocking Intramedullary Nail and External Fixation in Tibia and Fibula Fracture/HU Yi.//Chinese and Foreign Medical Research，2017，15（32）：21-22 　　【Abstract】 Objective：To evaluate the clinical effect of interlocking intramedullary nail and external fixation of tibial and fibular fractures.Method：From March 2014 to February 2016，130 patients with tibiofibular fractures confirmed and treated in our hospital were randomly divided into the study group and the control group with 65 cases in each group.The control group was treated with external fixation and reduction，the study group was treated with interlocking intramedullary nailing.The curative effect，fracture healing time and postoperative complications were compared.Result：The excellent and good rate was 89.23% in the study group，which was higher than 70.77% in the control group（P0.05）；the time of fracture healing was significantly shorter in the study group than that in the control group（P0.05）；the risk of postoperative complications was 3.08% in the study group，which was significantly lower than 27.69% in the control group（P0.05）.Conclusion：The treatment of tibial and fibular fractures with interlocking intramedullary nail is effective，can accelerate the healing of fracture and reduce the complication. 　　【Key words】 Tibia and fibula fracture； Interlocking intramedullary nail； External fixation 　　First-author’s address：Xiantao Vocational College Affiliated Hospital，Xiantao 433000，China 　　??前，我国交通事故发生率不断增长，而交通事故引发的最常见骨科伤病病种即为胫