【摘要】 目的分析钛制弹性髓内钉对儿童四肢骨折的治疗效果。方法选取我院2014年1月~2016年6月收治的100例四肢骨折的患儿作为研究对象,随机分成两组,每组各50例。对照组行切开复位钢板内固定疗法,研究组行钛制弹性髓内钉(TEN)疗法,观察两组的术中、术后指标、骨折愈合情况、临近关节的活动情况及并发症发生率。结果 (1)研究组的手术时间、住院时间和切口的长度短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05);(2)研究组的骨折愈合优良率高于对照组,差异有统计学意义(P<0.05);(3)研究组邻近关节活动的优良率高于对照组,差异有统计学意义(P<0.05);(4)研究组并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论 TEN的治疗方法 ,其并发症的发生率较低,创伤性较小,且术后患儿恢复较好。虽存在一些并发症,给予相应的预防措施,能使手术效果显著提高,既降低了患儿的痛苦,也对预后起到了积极的作用,值得临床上的广泛推广。更多还原

【Abstract】 Objective To analyze the therapeutic effect of titanium elastic intramedullary nail in treatment of children with extremities fracture.Methods Altogether 100 patients with extremities fracture admitted to our hospital from January 2014 to June 2016 were selected as the objects of this research and randomly divided into two groups,50 cases in each group.The control group was treated with open reduction and plate internal fixation;while,the study group was treated with titanium elastic intramedullary nail(TEN) therapy.The intraoperative and postoperative index,fracture healing,activity of adjacent joints and the incidence of complications were observed in the two groups.Results(1)The duration of surgery,the amount of intraoperative haemorrhage,the length of incision and the time of hospitalization of the study group were significantly shorter than those of the control group,with statistically significant difference(P<0.05).(2)The excellent rate fracture treatment of study group was much higher than that of the control group,with statistically significant difference(P<0.05).(3)The excellent rate of activity of adjacent joints of the study group was much higher than that of the control group,with statistically significant difference(P<0.05).(4)The incidence of complications of study group was significantly lower than that of control group,with statistically significant difference(P<0.05).Conclusion The TEN therapy has a lower incidence of complications,with the features of less trauma and better postoperative recovery.Although there are still some complications,implementation of the corresponding preventive measures can improve the surgical effect significantly,not only reduce the pain of the patients,but also play a positive role in the prognosis,which is worthy of extensive popularization clinically.更多还原