目的: 比较交锁髓内钉与钢板内固定术用于创伤性骨折患者的疗效,探讨其对医疗费用的影响。方法: 随机选择在我院接受治疗的创伤性骨折患者58例,作为本次研究对象,选取时间范围在2018年2月—2022年2月之间,根据治疗方式的不同,平均分为对照组（n=29,钢板内固定术）和观察组（n=29,交锁髓内钉固定术）,评估两组的治疗效果和费用,比较两组手术基础情况及并发症情况。结果: 观察组的手术时间、骨折愈合时间、医疗费用、住院时间、器材价格等均低于对照组（P<0.05）,观察组总并发症发生率低于对照组（P<0.05）。结论: 交锁髓内钉治疗应用于创伤性骨折患者,不仅能缩短手术时间、骨折愈合时间及住院时间,而且节省医疗费用,显著降低并发症发生率以及器材价格,利于患者机体恢复正常,减轻患者经济负担。

Objective: The article compared the efficacy of interlocking intramedullary nailing and internal fixation with steel plate in patients with traumatic fracture and their impact on medical expenses. Methods: 58 patients with traumatic fracture treated in my hospital from February 2018 to February 2022 were selected as subjects and randomly divided into control group (n=29, internal fixation with steel plate) and observation group (n=29, interlocking intramedullary nailing). The treatment effects of the two groups were evaluated, and the basic conditions and complications of the two groups were compared. Results: The operation time, fracture healing time, medical expenses, hospitalization time, price of consumables in the observation group was lower than those in the control group( p<0.05). The incidence of complication in observation group was lower than that in the control group ( p<0.05). Conclusion: Interlocking intramedullary nailing can shorten operation time, fracture healing time and the length of stay, reduce medical expenses, significantly reduce the incidence of complications and price of consumables, promote the rehabilitation of patients and reduce the economic burden of patients.