本文選題：脛腓骨骨折　切入點：閉合復(fù)位　出處：《遼寧中醫(yī)藥大學》2017年碩士論文　論文類型：學位論文

【摘要】：目的:通過回顧性研究對“遲氏正骨”手法閉合復(fù)位帶鎖髓內(nèi)釘治療脛腓骨骨折的療效進行分析,尋求治療脛腓骨骨折合理有效的方式。材料與方法:對2014.5-2016.5期間入院后行髓內(nèi)釘手術(shù)治療的94例脛腓骨骨折患者進行回顧性分析。其中行“遲氏正骨”手法閉合復(fù)位帶鎖髓內(nèi)釘治療的患者45人,行切開復(fù)位鋼板內(nèi)固定術(shù)患者49人。分析比較兩組患者骨折的手術(shù)時間,術(shù)后腫脹消退時間,骨折愈合時間、療效評分等情況,進行統(tǒng)計學處理,并對其加以分析。結(jié)果:出院后對患者進行隨訪,隨訪時間6-13個月,平均為11.4個月。兩組患者骨折均愈合。并發(fā)癥方面比較,兩組患者均未出現(xiàn)內(nèi)固定物斷裂,骨筋膜室綜合征等并發(fā)癥,切開復(fù)位內(nèi)固定組患者出現(xiàn)3例切口感染;“遲氏正骨”手法組在骨折在手術(shù)時間,術(shù)后消腫,術(shù)后平均愈合時間都優(yōu)于切開復(fù)位內(nèi)固定術(shù)組。術(shù)后參照Johner-Wruhs評分對患者進行療效評價,“遲氏正骨”手法組評分高于切開復(fù)位內(nèi)固定組,但兩組差異無統(tǒng)計學意義(P0.05),兩種術(shù)式均為治療此類骨折的有效方式。結(jié)論:遲氏正骨手法閉合復(fù)位帶鎖髓內(nèi)釘治療脛腓骨骨折具有術(shù)時短,感染風險低、術(shù)后腫脹消退快、骨折愈合時間短、術(shù)后功能評分高的優(yōu)勢。同時閉合復(fù)位,微創(chuàng)手術(shù),符合現(xiàn)代骨科學的“CO”理論。手術(shù)復(fù)位無需借助牽引床,操作簡便,為基層醫(yī)院治療該疾病提供一種可行的方法。
[Abstract]:Objective: to analyze the effect of closed reduction with locking intramedullary nail on tibia and fibula fracture by retrospective study. Materials and methods: 94 cases of tibia and fibula fracture treated by intramedullary nail operation during the period of 2014.5-2016.5 were analyzed retrospectively. 45 patients treated with interlocking intramedullary nailing, 49 patients were treated with open reduction and plate internal fixation. The time of operation, the time of swelling, the time of fracture healing, the score of curative effect and so on were analyzed and compared between the two groups. Results: the patients were followed up for 6-13 months with an average of 11.4 months. Complications such as osseous fascia syndrome, open reduction and internal fixation group showed 3 cases of incision infection. The average healing time after operation was better than that in the open reduction and internal fixation group. The curative effect was evaluated with Johner-Wruhs score. The score of Chi's bony manipulation group was higher than that of open reduction and internal fixation group. However, there was no significant difference between the two groups in the treatment of tibia and fibula fractures. Both operative methods were effective in the treatment of these fractures. Conclusion: the treatment of tibia and fibula fracture with interlocking intramedullary nail by Chi's orthopaedic manipulation has the advantages of short operative time, low risk of infection and quick regression of swelling after operation. The advantages of short healing time, high postoperative functional score, close reduction and minimally invasive surgery are in line with the "CO" theory of modern orthopedics. It provides a feasible method for the treatment of this disease in primary hospital.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R687.3

【參考文獻】

相關(guān)期刊論文 前10條

1 劉浩;丁濤;程力;朱浩明;李雅欣;王燁;張欽;;多維與單邊外固定支架治療脛腓骨開放性骨折的臨床對比研究[J];中國矯形外科雜志;2016年20期

2 孔令山;;踝套牽引加夾板固定治療不穩(wěn)定型脛腓骨骨折效果觀察[J];中外醫(yī)學研究;2016年26期

3 孫亞楠;孫樹;張挺;劉曉虹;;負壓封閉引流技術(shù)在Gustilo Ⅲ型開放性骨折術(shù)后難愈性創(chuàng)面感染治療中的應(yīng)用[J];山東醫(yī)藥;2016年23期

4 戴閩;于小龍;;骨折治療的思考-AO、BO的演變及CO時代的到來[J];中國骨與關(guān)節(jié)損傷雜志;2016年04期

5 黃敏強;丁煥文;黃淼俊;王虹;滕強;;3-D打印個性化外固定器在嚴重脛腓骨骨折的初步應(yīng)用[J];中國修復(fù)重建外科雜志;2016年02期

6 董愛軍;王海濱;鄒海軍;張子貞;林景春;劉文卯;王禮栓;;反饋訓(xùn)練輔助針對性手術(shù)治療脛腓骨骨折效果觀察[J];臨床合理用藥雜志;2015年31期

7 劉建;田寶方;王文珠;鄭衛(wèi)東;馮立;杜寶印;田大為;;雙臂外固定架與有限內(nèi)固定修復(fù)脛腓骨中下段開放性骨折:斷端固定可靠[J];中國組織工程研究;2015年39期

8 何銳敏;秦安;高i吳，

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