交锁髓内钉与钢板内固定术治疗股骨骨折患者的效果比较分析OA
Comparative Analysis of the Effect of Interlocking Intramedullary Nail and Steel Plate Fixation in the Treatment of Patients with Femur Fracture
目的:比较股骨骨折患者采用交锁髓内钉与钢板治疗的效果.方法:回顾性分析 2021年 1月—2024年 8月咸宁市中心医院收治的 80例股骨骨折患者资料,根据治疗方案不同将其分为研究组及对照组,各40例.对照组采用钢板内固定术治疗,研究组采用交锁髓内钉内固定术治疗.比较两组临床疗效、围手术期指标、恢复情况、髋关节功能、应激反应指标及并发症发生情况.结果:研究组的治疗总有效率为 97.50%,高于对照组的 82.50%,差异有统计学意义(P<0.05).研究组的手术时间短于对照组,术中出血量、引流量均少于对照组,差异均有统计学意义(P<0.05).研究组的住院时间、开始负重时间、骨折愈合时间均短于对照组,膝关节活动度、踝关节活动度均大于对照组,差异均有统计学意义(P<0.05).术后 3 d,研究组的皮质醇、去肾上腺素、血管紧张素Ⅱ水平均低于对照组,差异均有统计学意义(P<0.05).术后 3个月,研究组的Harris髋关节功能量表中各个维度评分均高于对照组,差异均有统计学意义(P<0.05).研究组的并发症发生率为2.50%,低于对照组的 15.00%,差异有统计学意义(P<0.05).结论:在股骨骨折患者治疗中,交锁髓内钉内固定术相较于钢板内固定术,可提高临床疗效和安全性,改善患者的围手术期指标,推动康复进程,改善其髋关节功能,减轻创伤性应激反应,具有更高的临床应用价值.
Objective:To compare the efficacy of interlocking intramedullary nail and steel plate fixation in the treatment of patients with femoral fracture.Methods:The data of 80 patients with femoral fracture admitted to Xianning Central Hospital from January 2021 to August 2024 were retrospectively analyzed,and were divided into a study group and a control group according to different treatment regimens,with 40 cases in each group.The control group was treated with steel plate fixation and the study group was treated with interlocking intramedullary nail fixation.The clinical efficacy,perioperative indexes,recovery,hip function,stress response indexes and complications were compared between the two groups.Results:The total effective rate of the study group was 97.50%,which was higher than 82.50%of the control group,the difference was statistically significant(P<0.05).The operation time of the study group was shorter than that of the control group,and the intraoperative blood loss and drainage volume were less than those of the control group,the differences were statistically significant(P<0.05).The length of hospital stay,start time of weight-bearing and fracture healing time in the study group were shorter than those in the control group,and the motion of knee joint and ankle joint were greater than those in the control group,the differences were statistically significant(P<0.05).Three days after surgery,the levels of cortisol,norepinephrine and angiotensin Ⅱ in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).Three months after surgery,all dimensions of the scores of Harris Hip Scale in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the study group was 2.50%,which was lower than 15.00%in the control group,the difference was statistically significant(P<0.05).Conclusion:In the treatment of femoral fracture,interlocking intramedullary nail fixation,compared with steel plate,fixation can improve clinical efficacy and safety,improve patients'perioperative indexes,promote rehabilitation process,improve hip function,reduce traumatic stress reaction,and have higher clinical application value.
刘世维;明甜
湖北省咸宁市中心医院创伤骨科,湖北 咸宁 437000湖北省咸宁市中心医院创伤骨科,湖北 咸宁 437000
医药卫生
股骨骨折交锁髓内钉钢板临床疗效
Femoral fractureInterlocking intramedullary nailSteel platesClinical effect
《中国伤残医学》 2025 (6)
54-58,5
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