摘要
目的 探究钢板螺钉内固定治疗四肢长管状骨创伤骨折的临床优势。方法 随机遴选在我科接受治疗的四肢长管状骨创伤骨折患者，共抽选出100例患者（收治时间范围：2022年4月~2023年4月），并按照简单随机法进行分组：对照组、观察组，每组50例。对照组骨折患者采取交锁髓内钉内固定，而观察组则采取钢板螺钉内固定，对比2组患者临床指标、并发症发生率。结果 观察组四肢长管状骨创伤患者的并发症发生率显著低于对照组：P＜0.05；观察组患者的手术时间、骨折愈合时间、住院时间、出血量等指标与对照组对比（P＜0.05）。结论 对于四肢长管状骨创伤骨折患者而言，采取钢板螺钉内固定术治疗，不仅可以明显提升患者的治疗效果，还能够改善患者骨折严重程度，缩短患者的住院时间，对患者预后康复具有显著作用，值得推广。
关键词： 钢板螺钉内固定；四肢长管状骨创伤骨折；治疗优势；临床疗效
Abstract
Objective To explore the clinical advantages of internal fixation with steel plates and screws in the treatment of traumatic fractures of long tubular bones in the limbs. Methods Randomly select patients with long tubular bone trauma fractures of the limbs who receive treatment in our department, and select a total of 100 patients (treatment time range: April 2022 to April 2023). They are divided into a simple random method: a control group and an observation group, with 50 patients in each group. The control group of fracture patients received interlocking intramedullary nail fixation, while the observation group received steel plate and screw fixation. The clinical indicators and incidence of complications were compared between the two groups of patients. Results The incidence of complications in patients with long tubular bone trauma in the observation group was significantly lower than that in the control group: P<0.05; The surgical time, fracture healing time, hospitalization time, and bleeding volume of the observation group were compared with those of the control group (P<0.05). Conclusion For patients with long tubular bone trauma fractures in the limbs, adopting steel plate and screw internal fixation surgery can not only significantly improve the treatment effect of patients, but also improve the severity of fractures, shorten the hospitalization time of patients, and have significant therapeutic effects on the prognosis and rehabilitation of patients, which is worth promoting.
Key words： Steel plate and screw internal fixation; Long tubular bone trauma fracture of limbs; Treatment advantages; Clinical efficacy
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