【摘要】 目的比较自锁髓内钉和交锁髓内钉治疗胫骨骨折的临床效果。方法对72例胫骨骨折进行手术治疗,均采取切开复位,40例用交锁髓内钉固定,32例用自锁髓内钉固定,对两组手术操作、创伤、并发症、疗效进行比较。结果两组随访6个月以上,交锁钉组平均手术时间101分钟,术中并发症25%,骨延迟愈合10%,骨折平均愈合时间20周,功能恢复优良率92.5%;自锁钉组平均手术时间66分钟,术中并发症6%,骨延迟愈合3.1%,骨折平均愈合时间19周,功能恢复优良率93.8%。两组比较,治疗效果的差别统计学无显著意义(>0.05),在手术时间、术中、术后并发症方面比较,差别有显著性意义(<0.05)。结论两组疗效相同。自锁钉组手术操作简单、时间短、损伤小、术中并发症少、骨折愈合快,适应证和交锁钉相同。更多还原

【Abstract】 Objective To compare the therapeutie effect of zisuoding and interlocking nail on the treatment of tibial fractures.Methods Seventy-two tibial fractures were operated,all opened replacement.Forty fractures in72 patients fixed with interlocking nails,and 32 fractures in 72 patients were by zisuoding.The two groups were compared for their operative procedures,trauma,postoperative complications,curative effect.Results The patients were followed up for more than 6 months.In the interlocking group,the operation lasted averaged 101 minutes;there happened 25% complica-tions and 10% delayed union;the mean healing time was 20 weeks.The excellent rate of function recovery was 92.5%.In the zisuoding group,the mean operation time and healing time was 66 minutes and 19 weeks.There happened 6% com-plications and 3.1% delayed union.The excellent rate was 93.8%.There was no statistical significant between the two gro-ups of the therapeutie effect(P>0.05).Whereas,in the mean operation time,complications of the two groups,the ZSD gro-up was statistically significant different to the interlocking intramedullary nail group(<0.05).Conclusion The thera-peutie effect of the groups was no significant difference.The operation with zisuoding is easier and caused fewer injuries and complications.The applied fractures were the same as interlocking nail.更多还原