摘要：目的 比较带锁髓内钉和钢板内固定手术治疗胫骨骨折的临床疗效.方法 回顾性分析172例胫骨骨折手术病例,按术式不同分为带锁髓内钉组(86例)和匹配钢板内固定组(86例),根据临床观察,结合X线片,按Gohner-Wruh评分标准,对两组疗效及其并发症进行比较.结果 带锁髓内钉组骨痂出现时间、愈合时间显著缩短,优良率显著提高,软组织感染、皮肤坏死、延迟愈合、骨不连和畸形愈合等并发症显著降低.结论 带锁髓内钉适用一些类型的胫骨骨折,优势明显. Abstract： Objective To compare the clinical curative effect of intermedullary locking nails and internal fixation with steel plate on the tibial fracture and its experience. Methods One hundred and seventy-two cases of fractures of tibia treated with plate fixation and interlocking intramedullary nail respectively. Statistical analysis of time of callus formation, time of fracture union and complications were performed.Results Time of callus occurrence of the group of locked intramedullary nail and time of fracture concrescence shortened significantly, with lowest incidence rate of complicating diseased.Conclusions Intermedullary locking nail should be recommended to treated tibial fracture, for the advantages of easy reduction,minimal invasion and rapid recovery.

关键词：胫骨骨折 手术方式 疗效比较 fracture treatment 

单位：