专家型髓内钉和锁定钢板内固定治疗胫骨下段骨折的效果及安全性对比.pdfVIP

中国当代医药 2016 年 10 月第23 卷第30 期 ·骨科医学· 专家型髓内钉和锁定钢板内固定治疗腔骨下段 骨折的效果及安全性对比 应强 卢水生 产R生军 江西省景德镇市中医院外科，江西景德镇 333(削 [摘要]目的探讨专家型髓内钉(ETN)和锁定钢板内固定治疗腔骨下段旬折的临床效果，并评价其安全性。 方法 选 取我院却1 3 年 1 月 -2016 年 2 月收治的腔骨下段骨折患者70 例，按人院时间顺序随机分为两组，观察组 38 例，采用 ETN 内罔定治疗，对照组32 例，采用锁定钢板内罔定治疗。 所有患者均随访6 个月.采用 Merchan 评 分标准评价治疗效果，比较两组患者术后感染、骨折畸形愈合、蝶钉松动、再骨折等井发症发生率。 结果 在 Mer­ chan 评分中，观察组总优良率为94.7%，显著高于对照组的 71.9%(P0.05) ; 观察组螺钉松动 l 例，总并发症发生 率7.9% ，显著低于对照组(P0.05)。 结论 在腔骨下段骨折治疗中，ETN 内固定较锁定钢板内固定临床效果更佳， 安全可靠、并发症少。 [关键词]专家型位内钉;锁定铜板;股骨下段 [中团分类号] R683 .42 [文献标识码]A [文章编号] 1674- 472 1(2016) 1o(c)-OO50-03 Clinical efficacy and security of expert tibial nail and locking plate for distal tibial fracture ZHUANG Qiang LU Shui-.theng YAN Sheng-jun Department of Surge巧，Tradil ional Chinese Medicine Hospital of Jingdezhen City in Jiangxi ProvinceJingdezhen 333α沟，China [Abstract10bjective To explore the clinical efficacy of expert tibial nail and locking plate for distal tibial fracture ,and evaluate lheir security. Metbods 70 patients with distal tibial fracture in our hospital from January 2013 to February 20 16,were randomly dividied into two groups according to the time sequence of admission,the observation group (n=38) was treated with ETN ,and the control group (n=32) was treated with locking plate.All patients we陀 followed up for not less th en 6 months.Then the Merchan criteria were used to evaluate clinical efficacy.The excellent and good rate,and complication incidence rates of infection after surgeη，malunion after fracture,screw loosening and re -fracture were compared between the two groups.Results In Merchan criteria,the good rate of obs