摘要
目的:探讨AO分型与交锁髓内钉治疗新鲜股骨干骨折临床疗效的相关性。方法:将我院收治的符合标准的新鲜股骨干骨折分为A型、B型、C型,选择用交锁髓内钉固定,分别比较手术时间、X线照射次数、术中出血量、骨折愈合时间、术后3个月的膝关节屈伸活动度、膝关节功能评分及患者的满意度。3组之间的比较采用单因素方差分析,采用LSD-t法进行组间两两比较,P<0.05认为差异有统计学意义。膝关节功能评分用Fisher精确检验法,P<0.05认为差异有统计学意义。结果:A型股骨干骨折膝关节功能评分、优良率及患者的满意度最高,B型次之,C型较差。结论:AO分型与股骨干骨折的临床疗效有相关性。
Objective To investigate the relationship between AO type and the clinical efficacy of the treatment of fresh femoral shaft fractures with interlocking intramedullary nail. Method The fresh femoral shaft fractures which were in accordance with the standards in our hospital,they were divided into A type,B type,C type,choose to use locking intramedullary nail fixation,respectively to compare the operation time,X- ray exposure times,intraoperative bleeding,fracture healing time,the 3 postoperative knee function of flexion and extension,knee function scores and patient satisfaction. Among the three groups were compared using univariate analysis of variance,the use of LSD- t method of group between pairwise comparisons,there was a statistically significant difference（ P〈0. 05）. The knee function score using Fisher exact test method,the difference was statistically significant（ P〈0. 05）. Results A type femoral shaft fractures of knee joint function score,the excellent rate and patient satisfaction was highest,B type,C type was the worst. Conclusion There is a correlation between AO type and the clinical curative effect of the femoral shaft fracture.
出处
《吉林医学》
CAS
2016年第5期1066-1069,共4页
Jilin Medical Journal
关键词
股骨干骨折
AO分型
交锁髓内钉
临床疗效
Femoral shaft fracture
Ao type
Intramedullary nail
Clinical effect
