喀什地区脊髓灰质炎后遗症股骨干骨折患者30例的临床分析

目的总结和分析喀什地区脊髓灰质炎后遗症股骨干骨折的临床治疗方案。方法分析2011年1月至2014年1月治疗的伴有股骨干骨折后遗症的脊髓灰质炎患者的临床资料。参照AO/OTA对所有患者进行分类。探讨治疗疗效以及骨折AO/OTA分类与疗效的相关性。结果本研究共纳入研究对象30例,AO/OTA分类结果为3.2A型10例,3.2B型13例,3.2C型7例。均实施钢板内固定治疗。三组患者的治疗优良率分别为80.0%,92.3%和85.7%。三组治疗优良率组间比较并无统计学差异(χ2=0.748,P0.05)。结论钢板内固定对于不同类型的喀什地区脊髓灰质炎后遗症股骨干骨折患者患者治疗均有疗效显著。

The clinical analysis of 30 cases of sequelae of poliomyelitis in the area of frigid plateau

Objective To study the clinical diagnosis,treatment and curative effect through the implementation of measures of plate fixation to the sequela of femoral shaft fracture in the patients with poliomyelitis in the area of frigid plateau. Methods Clinical data of patients with poliomyelitis accompanied by femoral shaft fracture received treatment at our hospital from January 2011 to 2014 was retrospectively analyzed. Patients included were divided into groups according to the AO / OTA. The relationship between the effect of treatment and the fracture of AO / OTA classification was discussed. Results The study included 30 cases. AO / OTA classification results for 10 cases 3. 2A,3. 2B type 13 cases,3. 2C type 7 cases. The treatment of the three groups of patients with good rate was 80. 0%,92. 3% and 85. 7%. Compared the differences between the three groups,there was not statistically superior rate treatment group（ χ2= 0. 748,P〉0. 05）. Conclusion The efficacy of plate fixation to the sequela of femoral shaft fracture in the patients with poliomyelitis in the area of frigid plateau was remarkable.