双锁定加压钢板治疗成人股骨干骨折的临床疗效分析

发布时间：2018-03-24 19:02

本文选题：双锁定加压钢板　切入点：股骨干骨折　出处：《延边大学》2015年硕士论文

【摘要】：目的：探讨应用双锁定加压钢板治疗成人股骨干骨折的临床疗效。方法：回顾性分析延边大学附属医院2012年9月～2014年3月应用锁定加压钢板治疗的股骨干骨折患者88例。根据治疗方法分为：单钢板治疗组43例和双钢板治疗组45例。比较两组的手术时间、术中出血量、骨折愈合时间、术后感染、内固定物松动或断裂、畸形愈合、膝关节功能障碍等指标。采用HSS膝关节功能评分标准、Karlstrom-Olerud股骨骨折疗效评价标准对其治疗效果进行评定,数据应用SPSS19.0软件进行统计学分析。结果：88例患者均获随访,随访时间12～30个月,平均20个月。单钢板治疗组的手术时间为91.54±9.81min,术中出血量为411.48±30.35ml,双钢板治疗组的手术时间为98.46±10.14min,术中出血量为428.27±32.16ml,.两组间进行统计学分析及t检验,差异无统计学意义(P0.05)。单钢板治疗组的住院时间为13.02±1.63d,骨折愈合时间为115.89±10.75d,双钢板治疗组的住院时间为12.96±1.58d,骨折愈合时间为116.27+11.32d,两组间进行统计学分析及t检验,差异无统计学意义(P0.05)。单钢板治疗组的术后并发症发生率为27.91%,双钢板治疗组的术后并发症发生率为11.11%,两组间进行统计学分析及x。检验,差异具有统计学意义(P0.05)。依据HSS膝关节功能评分标准：单钢板治疗组的优良率为76.74%,双钢板治疗组的优良率为93.33%,两组间进行统计学分析及x2检验,差异具有统计学意义(P0.05)。依据Karlstrom-Olerud股骨骨折疗效评价标准：单钢板治疗组的优良率为74.42%,双钢板治疗组的优良率为91.11%,两组间进行统计学分析及x。检验,差异具有统计学意义(P0.05)。结论：双锁定加压钢板治疗成人股骨干骨折,固定更加牢固,能够早期功能锻炼,可明显减少术后并发症,治疗效果显著,具有科学性和可行性,值得在临床上推广应用。
[Abstract]:Objective: to investigate the clinical effect of double locking compression plate in the treatment of adult femoral shaft fracture. Methods: retrospective analysis of femoral shaft fracture treated with locking compression plate from September 2012 to March 2014 in affiliated Hospital of Yanbian University. According to the treatment methods, 88 cases were divided into two groups: single plate group (43 cases) and double plate group (45 cases). Intraoperative bleeding, fracture healing time, postoperative infection, loosening or breaking of internal fixation, malunion, The treatment effect of knee joint dysfunction was evaluated by HSS knee joint function score standard and Karlstrom-Olerud fracture evaluation standard. The data were analyzed statistically by SPSS19.0 software. Results all the 88 patients were followed up. The mean follow-up time was 20 months. The operative time was 91.54 卤9.81 min, the intraoperative bleeding volume was 411.48 卤30.35 ml, the operative time was 98.46 卤10.14 min and the intraoperative bleeding volume was 428.27 卤32.16 ml / min in the single plate treatment group and the double plate treatment group, respectively. Statistical analysis and t test were performed between the two groups. The hospitalization time of single plate group was 13.02 卤1.63 days, the time of fracture healing was 115.89 卤10.75 days, the hospitalization time of double plate treatment group was 12.96 卤1.58 days and the time of fracture healing was 116.27 11.32 days. The incidence of postoperative complications was 27.91 in the single plate group and 11.11 in the double plate treatment group. Statistical analysis and x.test were performed between the two groups. The difference was statistically significant (P 0.05). According to the HSS score of knee joint function, the excellent and good rate of single plate treatment group was 76.74, and that of double plate treatment group was 93.33. Statistical analysis and x2 test were carried out between the two groups. The difference was statistically significant (P 0.05). According to the evaluation criteria of Karlstrom-Olerud femoral fracture, the excellent and good rate of single plate treatment group was 74.42, and that of double plate treatment group was 91.11.The statistical analysis and x.test were carried out between the two groups. Conclusion: the fixation of femoral shaft fractures in adults with double locking compression plate is more firm, early functional exercise can be achieved, postoperative complications can be significantly reduced, and the treatment is scientific and feasible. It is worth popularizing in clinic.
【学位授予单位】：延边大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

【参考文献】