柴明祥;王本祯;王珊珊;赵斌;吴希瑞;

• 1:河南淇县人民医院
• 2:新乡医学院第一附属医院
• 3:河北医科大学第三医院创伤急救中心

摘要(Abstract)：

[目的]比较外固定架、弹性钉、接骨板三种手术方法治疗儿童股骨干骨折的临床效果,为临床医生选择治疗方法提供依据。[方法]回顾性分析2010年6月~2016年6月符合纳入标准的66例儿童股骨干骨折患者的临床资料,其中外固定架组18例、弹性钉组22例、接骨板组26例。比较各组围手术期与随访资料,应用Kolmert等评定标准进行功能评价。[结果]手术时间弹性钉组[(52.67±16.05)min]显著长于外固定架组[(24.09±9.13)min]及接骨板组[(35.17±11.23)min](P<0.05);切口总长度接骨板组[(7.13±1.24)㎝]显著长于外固定组[(3.13±1.08)㎝]及弹性钉组[(3.52±1.32)㎝](P<0.05);出血量接骨板组[(43.63±8.75)ml]显著多于外固定架组[(24.22±7.35)ml]及弹性钉组[(23.68±7.44)ml](P<0.05)。但骨折临床愈合时间弹性钉组[(44.59±8.03)d]显著低于外固定架组[(61.32±11.16)d]及接骨板组[(61.82±11.62)d](P<0.05)。总并发症发生率、结果优良率方面三组差异无统计学意义(P>0.05)。[结论]三种方法均可有效治疗闭合性儿童股骨干骨折。因弹性钉较外固定架护理方便,较接骨板创伤小,建议首选弹性钉。

关键词(KeyWords)： 股骨骨折;儿童;弹性髓内钉;外固定架;接骨板

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 柴明祥;王本祯;王珊珊;赵斌;吴希瑞;

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参考文献(References)：

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