带锁髓内钉与锁定钢板内固定治疗成人股骨骨折的效果比较

陈剑成 梁勇革 谢文锋

[摘要]目的 探讨带锁髓内钉与锁定钢板内固定治疗成人股骨骨折的效果。方法 选取2013年1月～2015年1月我院收治的80例成人股骨骨折患者，采用随机数字表法将其分为对照组、观察组，每组40 例。对照组患者采用锁定钢板内固定治疗，观察组采用带锁髓内钉内固定治疗；对比两种内固定方案的治疗效果。结果 观察组患者的手术用时、骨折愈合时间明显低于对照组，且手术出血量少于对照组，差异均有统计学意义（P<0.05）。观察组患者治疗优良率明显高于对照组，差异有统计学意义（P<0.05）。观察组并发症发生率明显低于对照组，差异有统计学意义（P<0.05）。结论 带锁髓内钉与锁定钢板内固定治疗成人股骨骨折的效果比较发现，其均能够帮助患者骨折得到相应恢复，但是比较可见锁髓内钉治疗的效果相对较好，在改善患者手术创伤、改啥患者术后恢复方面运用优势更高，值得推广。

[关键词]带锁髓内钉内固定；锁定钢板内固定；成人股骨骨折；效果

[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-4721（2018）5（a）-0095-03

[Abstract]Objective To investigate the effect of interlocking intramedullary nail and locking plate fixation in the treatment of adult femoral fracture.Methods From January 2013 to January 2015， 80 cases of adult femoral fracture patients were selected and randomly divided into control group and observation group，40 cases in each group. Patients in the control group were treated with locking plate internal fixation， while patients in the observation group were treated with interlocking intramedullary nail internal fixation.The therapeutic effects of two internal fixation schemes were compared.Results The operative time and fracture healing time in the observation group were significantly lower than those in the control group， and the amount of operative bleeding in the observation group was less than that in the control group， the differences were statistically significant （P<0.05）.The excellent and good rate of the observation group was significantly higher than that of the control group， the difference was statistically significant（P<0.05）.The incidence of complications in the observation group was significantly lower than that in the control group， the difference was statistically significant （P<0.05）.Conclusion It is detected adult femoral fractures with interlocking intramedullary nails and locking plate internal fixation both aid on the bone fracture recovery to some extent，but the effect with interlocking intramedullary nail is relatively better and has advantages of surgical trauma improvement and amelioration of postoperative recovery，which is worthy of promotion.

[Key words]Internal fixation with interlocking intramedullary nail；Locking plate internal fixation；Adult femoral fracture；Effect

股骨骨折在临床中较为常见，尤其以成年人群中青壮年多见；骨折发生会使得患者的局部生物力学稳定性变差，同时患者容易伴随软组织损伤情况，最终可导致患者出现骨不连、感染等多种并发症，影响患者日常生活状态及预后。因此，临床对于股骨骨折患者需实施及早治疗，及早恢復关节功能。当前临床治疗股骨骨折以手术治疗为主，内固定治疗是临床治疗股骨骨折较为常用的术式。目前内固定治疗时选用的内固定材料以带锁髓内钉和锁定钢板为主。为进一步了解带锁髓内钉内固定、锁定钢板内固定的运用效果，本科室对80例成人股骨骨折患者分组后，分别实施了带锁髓内钉和锁定钢板内固定治疗。现将患者两种内固定治疗效果实施回顾性总结。

1 资料与方法

1.1 一般资料

选取2013年1月～2015年1月我院收治的80例成人股骨骨折患者，采用随机数字表法将其分为对照组、观察组，每组40 例。……