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目的分析弹性髓内钉治疗儿童长骨干骨折的临床价值。方法将本院2012年6月~2013年3月收治的78例长骨干骨折患儿,按照数字随机表分为两组,各39例。观察组采取弹性髓内钉治疗,对照组采取切开复位钢板固定,观察两组患儿治疗效果。结果观察组优良率为94.9%;对照组优良率为92.3%(P>0.05),观察组手术时间、术中出血量、住院时间及骨折愈合时间均少于对照组(P<0.05)。观察组并发症发生率为2.6%,对照组并发症发生率为17.9%,观察组不良反应发生率明显少于对照组(P<0.05)。结论弹性髓内钉操作简单,损伤小,对治疗儿童长骨干骨折疗效显著,康复快,临床价值高,值得推广使用。
Objective To analyze the clinical value of elastic intramedullary nail in the treatment of long bone fracture in children. Methods A total of 78 children with long bone fracture who were treated in our hospital from June 2012 to March 2013 were divided into two groups according to the random number table, with 39 cases each. The observation group was treated with elastic intramedullary nail, the control group was treated with open reduction and fixation, and the therapeutic effect was observed in both groups. Results The excellent and good rate was 94.9% in the observation group and 92.3% in the control group (P> 0.05). The operation time, intraoperative blood loss, hospital stay and fracture healing time in the observation group were all less than those in the control group (P <0.05). The incidence of complications in the observation group was 2.6%, the incidence of complications in the control group was 17.9%, and the incidence of adverse reactions in the observation group was significantly less than that in the control group (P <0.05). Conclusions Elastic intramedullary nails are easy to operate and less damaging. They are effective in treating long bone fracture of children, recover quickly and have high clinical value. They are worth popularizing.