止血带对髓内钉治疗胫骨干骨折的影响
doi：10.3969/j.issn.1007-614x.2014.18.32
摘要目的：评价应用止血带对髓内钉治疗胫骨干骨折的影响。方法：2008-2012年收治胫骨干骨折患者98例，应用止血带的50例患者为试验组，未使用止血带的48例为对照组。评价两组手术持续时间、术后患肢疼痛VAS评分（Visual Analogue Scale）、感染、愈合时间和骨折不愈合率。结果：①平均手术时间：试验组（53.93±9.02）分钟；对照组（54.22±10.96）分钟，两组比较差异无统计学意义（P=0.060）；②VAS评分：试验组（2.82±1.36）分；对照组（1.88±1.19）分，两组比较差异有统计学意义（P=0.004）；③平均愈合时间：试验组（4.55±1.72）个月，对照组（4.69±1.66）个月，两组比较差异无统计学意义（P=0.237）；试验组和对照组各有2例切口感染；试验组和对照组各有3例骨折不愈合。结论：对于闭合性或Gustilo-AndersonⅠ度胫骨干骨折采用闭合复位髓内钉内固定可不采用止血带。
关键词胫骨骨折止血带髓内钉
The effect of tourniquet for intramedullary nail in the treatment of tibial shaft fracture
Luan Hexu1，Mao Jia2，Luan Fujun1
1Department of Orthopedic，2Intensive Care Unit of Yongchuan Hospital Affiliated to Chongqing Medical University，402160
AbstractObjective：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...
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