摘要
目的通过比较不同方法治疗胫骨干骨折患者临床疗效,从而可为患者手术治疗提供参考。方法该研究方便选取并回顾性分析2012年3月—2014年2月该院收治的100例胫骨干骨折患者临床手术病历资料及治疗情况,其中甲组:经皮微创技术植入钢板,48例;乙组:交锁髓内钉,52例;统计两组患者手术时间、术中C臂透视次数及术中出血量,随访12个月,统计两组患者术后骨折愈合时间、并发症及临床疗效。结果甲组平均手术时间、骨折愈合时间及术中C臂透视次数明显短(少)于乙组,P<0.05;然两组术中出血量比较,P>0.05。甲组术后并发症率8.33%,明显低于乙组30.77%,P<0.05。甲组临床治疗优良率91.67%,明显高于乙组69.23%,P<0.05。结论应用经皮微创技术植入钢板治疗胫骨干骨折患者具有显著疗效且安全,因此可建议作为临床手术首选方法。
Objective To compare the clinical curative effect of different methods in treatment of patients with tibia shaft fracture thus providing reference for operative treatment of patients. Methods The clinical data and treatment of 100 cases of patients with tibia shaft fracture from March 2012 to February 2014 were retrospectively analyzed and divided into two groups, the group A（48 cases） were treated with minimally invasive percutaneous plate osteosynthesis, the group B（52cases） were treated with interlocking intramedullary nail, and the operative time, intraoperative c-arm fluoroscopic times of the two groups were counted, and the postoperative fracture healing time, complication and clinical curative effect of the two groups were counted after 12-month follow-up. Results The average operative time, fracture healing time and intraoperative c-arm fluoroscopic times in the group A were obviously shorter than those in the group B, P〈0.05, the difference in the intraoperative blood loss between the two groups had statistical significance, P〉0.05, the postoperative complication rate in the group A was obviously lower than that in the group B,（8.33% vs 30.77%）, P〈0.05, the excellent and good rate of clinical treatment in the group A was obviously higher than that in the group B,（91.67% vs 69.23%）, P〈0.05. Conclusion The curative effect of minimally invasive percutaneous plate osteosynthesis in treatment of patients with tibia shaft fracture is obvious and it is safe, therefore, it is suggested to be used as the preferred method of clinical operation.
出处
《中外医疗》
2016年第14期139-140,共2页
China & Foreign Medical Treatment
关键词
经皮微创技术植入钢板
胫骨干骨折
交锁髓内钉
Minimally invasive percutaneous plate osteosynthesis
Tibia shaft fracture
Interlocking intramedullary nail
