逆行髓内钉治疗股骨髁上骨折患者的疗效分析

摘要

Objective To analyze the efficacy and index during the perioperative period of retrograde intramedullary nail in the treatment of patients with supracondylar fracture of femur.Methods 72 cases of supracondylar fracture of femur in our hospital from May 2009 to May 2012 were selected as the research object,and divided into observation group and control group with 36 cases in each group by random lot method.Observation group received retrograde intramedullary nail fixation technique,while control group received anatomic plate fixation technique.Operation time,intraoperative blood loss,and fracture healing time of two groups were recorded,knee-joint neer scale was used to evaluate the efficacy of supracondylar fracture of femur,postoperative infection rate between two groups were compared.Results Operation time,fracture healing time of observation group were significantly shorter than those of control group [(84.64±8.25)min vs.(95.67±9.23) min,(19.63±3.52)weeks vs.(23.46±3.42)weeks],intraoperative blood loss was significantly lower than that of control group [(239.61±39.85)ml vs.(413.71±41.36)ml] (P＜0.05).The effective rate of observation group was significantly higher than that of control group (94.44％ vs.75.00％) (P＜0.05).There was no statistically significant difference in the postoperative infection rate between two groups (1/36 vs.1/36) (P＞0.05).Conclusion Retrograde intramedullary nail has significant efficacy in the treatment of patients with supracondylar fracture of femur,which can reduce fracture healing time and intraoperative blood loss,can be further promoted in clinical practice.%目的 分析逆行髓内钉治疗股骨髁上骨折患者的疗效及围术期指标.方法 选取本院2009年5月至2012年5月72例股骨髁上骨折患者为研究对象,将患者抽签随机分为观察组与对照组,每组36例.观察组给予逆行髓内钉固定技术治疗,对照组给予解剖钢板固定技术治疗,记录两组患者手术时间、术中出血量及骨折愈合时间,采用膝关节neer量表评定股骨髁上骨折疗效,并比较两组患者术后感染率.结果 观察组患者手术时间、骨折愈合时间均短于对照组[(84.64±8.25) minvs.(95.67±9.23) min、(19.63±3.52)周vS.(23.46±3.42)周],术中出血量少于对照组[(239.61±39.85)ml vs.(413.71±41.36) ml],两组比较差异有统计学意义(P＜0.05);观察组有效率高于对照组[94.44％vS.75.00％],两组比较差异有统计学意义(P＜0.05);两组患者术后均有1例发生感染,两组比较差异无统计学意义(P＞0.05).结论 逆行髓内钉治疗股骨髁上骨折患者的疗效显著,可缩短骨折愈合时间,减少术中出血量,值得在临床推广使用.