中国社区医师Issue(18)：53-54,2.DOI:10.3969/j.issn.1007-614x.2014.18.32
止血带对髓内钉治疗胫骨干骨折的影响
The effect of tourniquet for intramedullary nail in the treatment of tibial shaft fracture
栾和旭 1毛佳 2栾富均2
作者信息
- 1. 402160重庆医科大学附属永川医院骨科
- 2. 402160重庆医科大学附属永川医院重症监护室
- 折叠
摘要
Abstract
Objective:To evaluate the effect of using tourniquet on intramedullary nail in the treatment of tibial shaft fracture. Methods:98 cases with tibial shaft fracture were selected from 2008 to 2012.50 cases were used tourniquet as the experimental group.48 cases weren't used tourniquet as the control group.Compare the indexes of the two groups,including the operation duration,postoperative limb pain VAS score(Visual Analogue Scale),infection,healing time and the nonunion rate.Results:The average operation time of the experimental group was(53.93±9.02) minutes,and that of the control group was(54.22±10.96) minutes.There was no statistically significant difference between the two groups(P=0.060).The VAS score of the experimental group was(2.82±1.36),and that of the control group was(1.88±1.19).There was a statistically significant difference between the two groups(P=0.004).The average healing time of the experimental group was(4.55±1.72) months,and that of the control group was(4.69±1.66) months.There was no statistically significant difference between the two groups(P=0.237).The experimental group and the control group each had 2 cases of incision infection.The experimental group and the control group each had 3 cases of nonunion.Conclusion:The closed or Gustilo-Anderson Ⅰ degree of tibial shaft fracture was treated with closed reduction and internal fixation with intramedullary nail without tourniquet.关键词
胫骨骨折/止血带/髓内钉Key words
Tibial fracture/Tourniquet/Intramedullary nail引用本文复制引用
栾和旭,毛佳,栾富均..止血带对髓内钉治疗胫骨干骨折的影响[J].中国社区医师,2014,(18):53-54,2.
