交锁髓内钉治疗肱骨干骨折疗效观察

目的：探讨交锁髓内钉治疗肱骨干骨折的临床治疗效果，并与钢板内固定肱骨干骨折的疗效作比较。方法：将2006年1月至2009年1月我院收治的64例肱骨干骨折患者随机分为观察组和对照组各32例，观察组采用交锁髓内钉治疗肱骨干骨折，对照组采用钢板内固定治疗肱骨干骨折，观察比较两组的临床疗效及手术效果。结果：观察组的有效率为87．5％，对照组的有效率为59．4％，两组优良率经统计学分析，差异有显著性意义（P〈O．05）。两组术后的并发症主要有感染、医源性桡神经损伤、断钉、断板或钉板松动，骨折再移位、患肢肿胀〉1w、肩肘关节疼痛、骨不愈合等，经统计学处理发现，观察组术后并发症的发生率明显低于对照组，经统计学分析，差异有显著性意义（P〈O．05）。结论：交锁髓内钉治疗肱骨干骨折疗效优于钢板内固定，骨折愈合时间快，不良反应少，值得临床推广和应用。

Intramedullary nailing of humeral shaft fractures in 32 patients

Objective：Intramedullary nail treatment of humeral shaft fracture treatment, and with plate fixation of humeral shaft fractures in comparison. Methods：From January 2006 to January 2009 in our hospital 64 cases of humeral shaft fractures were randomly divided into two groups and the control group 32 cases, the observation group treated with intramedullary nailing of humeral shaft fractures, the control group plate fixation of humeral shaft fractures, observed two groups were compared the clinical efficacy and effect of surgery. Results：Of effective observation group was 87.5% in the control group rate was 59.4% ,high rates of the two groups by statistical analysis, the difference was significant（P~0.05）. Postoperative complications of primary infection, iatrogenic radial nerve injury, broken nails, broken plate or screw loosening, fracture re--displacement,limb swelling~2w, shoulder and el- bow pain, bone healing, were statistically processing found in the observation group complications were significantly lower than the control group, by statistical analysis, the difference was significant（P〈0. 05）. Conclusion： Intramedullary nailing of humeral shaft fracture fixation is superior, faster healing time, fewer side effects, is worthy of promotion and application.