【摘要】 目的 探讨桥接组合式内固定系统结合双反牵引技术治疗股骨干骨折的疗效。方法 选取2020年3月至2023年4月在黄河三门峡医院接受桥接组合式内固定系统治疗的69例股骨干骨折患者，将患者随机分为对照组（35例）和观察组（34例）。对照组给予桥接组合式内固定系统+牵引床治疗，观察组给予桥接组合式内固定系统+双反牵引技术治疗。观察两组手术相关指标（复位时间、手术时间、切口类型、术中出血量、术中透视次数）、骨折愈合时间以及术后6、12个月髋膝关节功能，比较术后并发症发生情况。结果 两组切口类型、术中出血量、骨折愈合时间、并发症发生率比较，差异无统计学意义（P >0.05）。相较于对照组，观察组复位时间和手术时间更短，术中透视次数更少（P<0.05）。两组术后12个月髋关节Harris评分和膝关节美国特种外科医院评分均高于术后6个月，且观察组术后6个月髋膝关节评分优于对照组（P<0.05）。结论 对于股骨干骨折患者，桥接组合式内固定系统结合双反牵引技术或牵引床治疗均可获得良好的骨折愈合，但前者能够缩短复位时间和手术时间，减少术中透视次数，术后早期关节功能改善更佳。更多还原

【Abstract】 Objective To explore the therapeutic effect of bridge combined internal fixation system assisted with double reverse traction technology in the treatment of femoral shaft fractures. Methods A total of 69patients with femoral shaft fractures who received bridge combined internal fixation system treatment at Yellow River Sanmenxia Hospital from March 2020 to April 2023 were selected and randomly divided into a control group(35 cases) and an observation group(34 cases). Patients in the control group received treatment using a bridge combined internal fixation system with traction bed, while patients in the observation group received treatment using a bridge combined internal fixation system assisted with double reverse traction technology. The surgical related indicators(reduction time, operation time, incision type, intraoperative blood loss, and intraoperative fluoroscopy frequency), fracture healing time, as well as hip and knee joint function at 6 and 12months postoperatively were observed in both groups. The incidence of postoperative complications was compared between the two groups. Results There was no statistical differences in the type of incision,intraoperative blood loss, fracture healing time, and the incidence of complications between the two groups(P >0.05). The observation group had shorter reduction time and operation time, and fewer intraoperative fluoroscopy times compared with the control group(P <0.05). Harris hip score and American Hospital of Special Surgery knee joint score at 12 months after surgery in both groups were higher than those at 6 months after surgery(P <0.05), and the observation group had higher Harris hip score and American HSS knee joint score than the control group at 6 months after surgery(P <0.05). Conclusions For patients with femoral shaft fractures, the combination of bridging internal fixation system and double reverse traction technique or traction bed can both achieve good fracture healing. However, the former procedure can shorten reduction time and surgical time,reduce intraoperative fluoroscopy frequency, and improve early postoperative joint function better when compared with the latter procedure.更多还原