弹性髓内钉与接骨板内固定治疗儿童股骨干骨折的临床疗效对比研究

摘要 目的：对比弹性髓内钉与接骨板内固定治疗儿童股骨干骨折的临床疗效。方法：本研究为回顾性研究，选取我院于2018年3月~2019年8月期间收治的儿童股骨干骨折患者98例，根据固定方式的不同将患儿分为A组（n=50，接骨板内固定治疗）和B组（n=48，弹性髓内钉治疗），观察两组优良率、术前/术后相关指标及并发症发生情况。结果：B组的优良率高于A组（P<0.05）。B组手术时间、切口长度短于A组，术中出血量少于A组（P<0.05）。B组骨折愈合时间、住院时间、手术至内固定拆除时间、取出内固定手术时间短于A组（P<0.05）。两组患儿并发症发生率对比，差异无统计学意义（P>0.05）。结论：相对于接骨板内固定治疗，弹性髓内钉治疗儿童股骨干骨折，疗效更好，可有效改善术中、术后指标，且不增加并发症的发生率。

Comparative Study on the Clinical Effect of Elastic Intramedullary Nail and Bone Plate Internal Fixation in the Treatment of Femoral Shaft Fractures in Children

ABSTRACT Objective: To compare the clinical efficacy of elastic intramedullary nail and plate fixation in the treatment of femoral shaft fractures in children. Methods: This study was a retrospective study. 98 cases of children with femoral shaft fracture in our hospital from March 2018 to August 2019 were selected. According to the different fixation methods, the patients were divided into group A (n=50, bone plate internal fixation treatment) and group B (n=48, elastic intramedullary nail treatment). The excellent and good rate, preoperative/postoperative related indicators and complications of the two groups were observed. Results: The excellent and good rate of group B was higher than that of group A, and the difference was statistically significant(P<0.05). The operation time, incision length of group B were shorter than those of group A, and intraoperative blood loss was less than that of group A(P<0.05). The fracture healing time, hospitalization time, operation to internal fixation removal time, removal of internal fixation operation time of group B were shorter than those iof group A(P<0.05). There was no significant difference in the incidence of complications between the two groups(P>0.05). Conclusion: Compared with bone plate internal fixation, elastic intramedullary nail has better efficacy in the treatment of femoral shaft fractures in children, which can effectively improve the intraoperative and postoperative indicators, and do not increase the incidence of complications.