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目的 比较交锁髓内钉和锁定加压钢板治疗胫骨骨折的临床疗效.方法 将胫骨骨折患者72例随机分为试验组和对照组各36例,试验组采用交锁髓内钉治疗,对照组采用锁定加压钢板治疗.比较2组患者的关节功能恢复情况、手术情况及术后并发症发生情况.结果 试验组总有效率为97.22%高于对照组的83.33%,差异有统计学意义(P<0.05).试验组手术时间长于对照组,术中出血量多于对照组,骨折愈合时间短于对照组,差异均有统计学意义(P<0.05).试验组并发症发病率为22.22%低于对照组的41.67%,差异有统计学意义(P<0.05).结论 胫骨骨折通过交锁髓内钉治疗的临床效果优于锁定加压钢板治疗.“,”Objective To compare the clinical effects of interlocking intramedullary nail and locking compression plate in the treatment of tibial fractures.Methods 72 cases of tibial fractures were randomly divided into test group and control group,each group of 36 cases,The test group was treated with interlocking intramedullary nail,The control group was treated with locking compression plate,The recovery of joint function,operation and occurrence of postoperative complications were observed of two groups.Results The total efficiency rate of the test group was 97.22%,higher than that in the control group(83.33%),the difference was statistically significant(P<0.05).The operative time was longer than that of the control group,the bleeding time was higher than that of the control group,the time of fracture healing was shorter than that of the control group,the difference were statistically significant(P<0.05).The incidence of complication in the test group was 22.22% lower than that in the control group(41.67%),the difference was statistically significant(P<0.05).Conclusion The clinical effect of interlocking intramedullary nailing for tibial fractures is better than that of locking compression plate.