摘要
目的探讨不同内固定方法在胫骨骨折治疗中的临床效果。方法将112例胫骨骨折患者根据内固定方法分为微创经皮锁定加压钢板（LCP）组（n=56）与交锁髓内钉组（／Z=56），分别给予闭合复位LCP及交锁髓内钉内固定术治疗，对比两组患者临床效果及并发症情况。结果两组手术时间[（78．1±5．6）minvs（79．2±6．0）min]、总住院时间[（19．54-2．2）dvs（20．2±2．4）d]、优良率（92．9％vs91．1％）、手术并发症发生率（21．4％VS16．1％）比较差异均未见统计学意义（P〉0．05），但LCP组术中出血量显著低于交锁髓内钉组（P〈0．01）。结论微创经皮钢板内固定术及交锁髓内钉内固定术用于胫骨骨折的治疗，疗效相当，术后并发症比较差异未见统计学意义，在胫骨骨折患者的内固定方法选择中需密切结合患者病情合理选择。
Objective To investigate the clinical effects of minimally invasive percutaneous locking compression plate internal fixation and interlocking intramedullary nail internal fixation on tibia fracture. Methods One hundred and twelve patients with tibia fracture were divided into the LCP group （ n = 56） and the interlocking intramedullary nail group （ n = 56 ）, the patients of two groups were treated with minimally invasive percutaneous locking compression plate internal fixationinternal and interlocking intramedullary nail internal fixationinternal, then the clinical effects were contrasted between the two groups. Results There was no significant difference in operation time [ （78. 1 ± 5.6） min vs （79.2 ± 6. 0） mini, hospitalization time[ （ 19. 5 ±2. 2）d vs （20. 2 ±2.4）d], excellent rate（92. 9% vs 91.1% ）, and incidence of operation complications（21.4% vs t6. 1% ） （P 〉 0. 05） ; but the amount of bleeding during operation in the LCP group was significantly less than the interlocking intramedullary nail group（P 〈 0. 01 ）. Conclusions Minimally invasive percutaneous locking compression plate internal fixation and intramedullary nail internal fixation have the same clinical effects on patients with tibial fracture, no significant differences in postoperative complications. We Should select the method of internal fixation according to the patients＇ condition.
出处
《中国实用医刊》
2015年第15期55-57,共3页
Chinese Journal of Practical Medicine
关键词
胫骨骨折
微创经皮锁定加压钢板
交锁髓内钉
疗效
Tibia fracture
Minimally invasive percutaneous locking compression plate internal fixation
Interlocking intramedullary nail internal fixation
Clinical effects
