交锁髓内钉与外固定支架治疗四肢骨折效果分析

吴长诗

（陕西省安康市石泉县中医院，陕西 安康，125200）

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摘要：

目的 分析比较交锁髓内钉与外固定支架对四肢骨折治疗的效果。方法 选择我院2013年12月至2015年12月收治的80例四肢骨折患者，分为观察组（43例）和对照组（37例），观察组采用交锁髓内钉固定，对照组采用外固定支架进行固定，术后随访6个月，观察患者骨折愈合情况，记录两组治愈时间。结果 观察组治愈率（69.77%）和有效率（95.35%）均高于对照组（48.65%）（81.08%）（P<0.05）；观察组平均骨折愈合时间为（108.4 ± 5.1）d，优于对照组的（117.9± 7.0）d，两组差异显著（P<0.05）。术前，两组SF-36量表各项评分差异无统计学意义（P>0.05），术后6个月，两组SF-36评分均明显增加且观察组在生理功能、生理职能、躯体疼痛上评分均明显高于对照组（P<0.05）。两组并发症发生率比较，差异显著（P<0.05）。结论 采用交锁髓内钉对四肢骨折的愈合效果优于外固定支架，有助于提高患者生活质量。

关键词：交锁髓内钉；外固定支架；四肢骨折

中图分类号：R687.3 文献标志码：A文章编号：2096-1413(2017)08-0083-02

Effect analysis of interlocking intramedullary nail and external fixator in the treatment of limbs fracture
WU Chang-shi
(Shiquan County Chinese Medicine Hospital, Ankang 125200, China)

ABSTRACT: Objective To compare the therapeutic effects of interlocking intramedullary nail and external fixator in the treatment of limb fracture. Methods Eighty cases of patients with limb fractures in our hospital from December 2013 to December 2015 were selected and divided into observation group (43 cases) and control group (37 cases). The observation group was treated with interlocking intramedullary nail for fixation, while the control group was treated with external fixator for fixation. After postoperative follow-up of 6 months, the fracture union and cure time were observed and recorded in the two groups. Results The cure rate (69.77%) and the effective rate (95.35%) of the observation group were higher than those of the control group (48.65%) (81.08%) (P<0.05). The average healing time of the observation group was (108.4±5.1) d, which was significantly better than that of the control group which was (117.9±7.0) d (P<0.05). Before surgery, there was no significant difference between the two groups in SF-36 scores (P>0.05). After 6 months of surgery, the SF-36 scores were both increased in two groups. Otherwise, the scores of physiological function, physical function and physical pain of the observation group were higher than those of the control group (P<0.05). The incidence of complications between the two groups was significantly different (P<0.05). Conclusion The effect of interlocking intramedullary nails in limbs fracture is better than that of external fixator, which helps to improve the quality of patients.
KEYWORDS: interlocking intramedullary nail; external fixator; limbs fracture

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