U.S Chinese International Journal of Traumatology Mar.2018,Vo1.17,No.1 1
弹性髓内钉与钢板在儿童四肢长骨骨折
治疗的比较分析
屈继宁,颉强,李云峰,李敏,陆清达,马益善,苏菲
(西安交通大学附属红会医院小儿骨科 710054)
[摘要]目的:探讨弹性髓内钉在儿童四肢长骨骨折治疗中的临床疗效及相关优势。方法:采用前瞻性临床对
照研究的方法,将 2014年 1月至 2016至 1月间我院收治的儿童四肢长骨骨折手术治疗的患者 100例随机
分成对照组(予以钢板内固定术,n=50)和观察组(予以弹性髓内钉内固定术,n=50)。两组患者术后均随访 1
年,比较两组患者的手术时间、术中出血量、住院时间、骨痂生成优 良率、骨折愈合时间、邻近关节功能及并发
症的差异。结果:两组患者在随访期内均全部愈合,对位对线良好,关节功能正常,无严重并发症出现。但观察
组术中出血量为(50.60~18.35)ml、住 院时间为 (14.75+4.40)d、骨痂生成优 良率为 96.0%、骨折愈合时间为
(56.50~3.85)d,而对照组则分别为 (165.30~35.80)ml、(6.50~2.75)d、80.0%和(80.30~8.96)d,两组差异均有统
计学意义(P<0.05)。结论 :弹性髓 内钉和钢板内固定均为治疗儿童四肢长骨骨折的有效方法,但弹性髓内钉不
损伤骨骺血管,愈合时间短,具有操作简便、微创、术后康复快等优点,值得在临床上推广应用。
[关键词]儿童;长骨骨折;弹性髓内钉;钢板
Application and efi cacy analysis of elastic intramedullary nail and steel plate on children with long
bone fracture of limbs/Qu Jining, e Qiang,Li Yunfeng,et a1.Department of Pediatric Orthopedics,the
Afiliated Honghui Hospital of Xi'an Jiaotong University,Xi'an 710054,China
[Abstract]Objective:To investigate the clinical eficacy and advantages of elastic intramedulary nail for
treatment of children with long bone fracture of limbs.Methods:From Jan.2014 to Jan.2016,100 children
with long bone fracture of limbs were randomly divided into observation group(50 cases,treated with elastic
intramedulary nail)and control group (50 cases,treated with steel plate),by using prospective clinical con—
trol study.A11 cases were folowed—up for one year,and the diference of operating time,intraoperat