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交锁髓内钉在肱骨骨折治疗中的临床研究

  

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-06-25

Clinical Study of Interlocking Intramedullary Nailing in the Treatment of Humeral Shaft Fractures

  • Received:1900-01-01 Revised:1900-01-01 Online:2012-06-25

摘要: 目的:探讨交锁髓内钉法治疗肱骨骨折临床疗效。方法:选取2010年1月~2011年1月我院收治的肱骨骨折患者286例。按其就诊顺序,随即分为两组,钢板螺钉法组(对照组)和交锁髓内钉法组(观察组)。比较两组的临床疗效的差异。结果:对照组总优等治愈率为81.1%,治疗组总优等治愈率为67.1%,差异具有显著统计学意义(P<0.01)。治疗组与对照组在手术时间、出血量、及并发症方面相比较,治疗组疗效明显优于对照组,且差异具有统计学意义(P<0.01)。治疗组与对照组在骨折愈合、住院时间及住院开支方面相比较,患者恢复健康的时间明显提前、医疗开支明显减少,且差异具有统计学意义(P<0.01)。结论:采用交锁髓内钉法治疗肱骨骨折具有治愈率高、恢复快、术中失血少、住院费用低、并发症少、安全性高等特点。

Abstract: Objective:To investigate the method of interlocking intramedullary nail treatment of humeral fracture efficacy.Methods:January 2010 January to 2011 in our hospital 286 cases of patients with humeral shaft fractures.According to their treatment sequence,and then divided into two groups,plate and screw method(control group) and interlocking intramedullary nailing group(study group).Compare the clinical efficacy differences between the two groups.Results:There were excellent cure rate was 81.1%,the treatment group was superior cure rate was 67.1%,the difference was statistically significant(P<0.01).Treatment and control groups in operative time,blood loss,and complications compared to the treatment group than the control group,and the difference was statistically significant(P<0.01).Treatment and control groups in the healing of fractures,hospitalization time and hospitalization expenses,compared to patients to restore health to significantly advance medical expenses significantly reduced,and the difference was statistically significant(P<0.01).Conclusion:Interlocking intramedullary nail treatment of humeral shaft fractures with a high cure rate,faster recovery,less intraoperative blood loss,and low cost of hospitalization,fewer complications,high security and so.