本文選題：雙鎖定加壓鋼板　切入點(diǎn)：股骨干骨折　出處：《延邊大學(xué)》2015年碩士論文

【摘要】：目的：探討應(yīng)用雙鎖定加壓鋼板治療成人股骨干骨折的臨床療效。方法：回顧性分析延邊大學(xué)附屬醫(yī)院2012年9月～2014年3月應(yīng)用鎖定加壓鋼板治療的股骨干骨折患者88例。根據(jù)治療方法分為：單鋼板治療組43例和雙鋼板治療組45例。比較兩組的手術(shù)時(shí)間、術(shù)中出血量、骨折愈合時(shí)間、術(shù)后感染、內(nèi)固定物松動或斷裂、畸形愈合、膝關(guān)節(jié)功能障礙等指標(biāo)。采用HSS膝關(guān)節(jié)功能評分標(biāo)準(zhǔn)、Karlstrom-Olerud股骨骨折療效評價(jià)標(biāo)準(zhǔn)對其治療效果進(jìn)行評定,數(shù)據(jù)應(yīng)用SPSS19.0軟件進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果：88例患者均獲隨訪,隨訪時(shí)間12～30個(gè)月,平均20個(gè)月。單鋼板治療組的手術(shù)時(shí)間為91.54±9.81min,術(shù)中出血量為411.48±30.35ml,雙鋼板治療組的手術(shù)時(shí)間為98.46±10.14min,術(shù)中出血量為428.27±32.16ml,.兩組間進(jìn)行統(tǒng)計(jì)學(xué)分析及t檢驗(yàn),差異無統(tǒng)計(jì)學(xué)意義(P0.05)。單鋼板治療組的住院時(shí)間為13.02±1.63d,骨折愈合時(shí)間為115.89±10.75d,雙鋼板治療組的住院時(shí)間為12.96±1.58d,骨折愈合時(shí)間為116.27+11.32d,兩組間進(jìn)行統(tǒng)計(jì)學(xué)分析及t檢驗(yàn),差異無統(tǒng)計(jì)學(xué)意義(P0.05)。單鋼板治療組的術(shù)后并發(fā)癥發(fā)生率為27.91%,雙鋼板治療組的術(shù)后并發(fā)癥發(fā)生率為11.11%,兩組間進(jìn)行統(tǒng)計(jì)學(xué)分析及x。檢驗(yàn),差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。依據(jù)HSS膝關(guān)節(jié)功能評分標(biāo)準(zhǔn)：單鋼板治療組的優(yōu)良率為76.74%,雙鋼板治療組的優(yōu)良率為93.33%,兩組間進(jìn)行統(tǒng)計(jì)學(xué)分析及x2檢驗(yàn),差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。依據(jù)Karlstrom-Olerud股骨骨折療效評價(jià)標(biāo)準(zhǔn)：單鋼板治療組的優(yōu)良率為74.42%,雙鋼板治療組的優(yōu)良率為91.11%,兩組間進(jìn)行統(tǒng)計(jì)學(xué)分析及x。檢驗(yàn),差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論：雙鎖定加壓鋼板治療成人股骨干骨折,固定更加牢固,能夠早期功能鍛煉,可明顯減少術(shù)后并發(fā)癥,治療效果顯著,具有科學(xué)性和可行性,值得在臨床上推廣應(yīng)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 鹵9.81 min, the intraoperative bleeding volume was 411.48 鹵30.35 ml, the operative time was 98.46 鹵10.14 min and the intraoperative bleeding volume was 428.27 鹵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 鹵1.63 days, the time of fracture healing was 115.89 鹵10.75 days, the hospitalization time of double plate treatment group was 12.96 鹵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.
【學(xué)位授予單位】：延邊大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R687.3

【參考文獻(xiàn)】

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本文編號：1659612