经皮钳治疗胫腓骨不稳定型骨折临床安全性评价——3例滑钳原因分析及处理  

EVALUATION OF CLINICAL SAFETY OF PERCUTANEOUS CLAMP FOR TREATING UNSTABLE TIBIOFIBULAR FRACTURE: A Reason Analysis and Treatment of Clamp Slipping in 3 Cases

作　　者：杨明路[1] 王战朝[1] 高书图[1] 闫占民 孙永强[3] 莫勋南[1] 姚小锐[1] 喻长纯[1] 齐兵[1] 杜志谦[1] 张敏[1] 赵大伟[1] 尚延春[1] 黄霄汉[1] 王俊颀[1] 

机构地区：[1]河南省洛阳正骨医院正骨研究所,471002 [2]河南省登封市骨科医院 [3]河南省中医院

出　　处：《中医正骨》2006年第3期13-14,16,共3页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：国家中医药管理局临床诊疗技术整理与研究项目(国中医药科2001ZL09号)

摘　　要：为客观评价模拟中医正骨手法设计的经皮钳固定治疗胫腓骨不稳定型骨折的临床疗效、安全性及规范技术操作。采用标准对照(单侧多功能外固定支架)、多中心临床验证的方法。将200例符合纳入标准的胫腓骨不稳定型骨折患者随机分为治疗组和对照组,分别应用经皮钳及单侧多功能外固定支架治疗。结果安全性评估两组比较,经CMH卡方检验,有显著性差异(P<0.01)。两组共出现21例不良事件,其中对照组18例,17例为固定针入口处皮肤感染,1例再骨折为去除固定83天后意外车祸所致。治疗组3例,均为滑钳。表明本研究方法为胫腓骨不稳定型骨折提供了新的简便、可靠的治疗方法,规范技术操作是经皮钳疗法准确应用的关键。The objective of the paper is to objectively evaluate the clinical therapeutic effect,safety and standard technical operation of percutaneous clamping(PCC) for treating unstable tibiofibular fracture(UTFF).Using the standard-control and multi-central-verifying methods,200 cases of UTFF according with the admission standards were randomly divided into the treated group and control group,which were treated by PCC and by unilateral multi-functional external fixing brace,respectively.Through CMH x2 test,the results of safety evaluation and comparison of the two groups showed a significant difference(P < 0.01).Of 21 cases of bad accidents that occurred in the two groups,18 cases occurred in the control group,including 17 cases of fixing-sty skin infection and one case of re-fracture caused by car accident 83 days after removing the fixation,and the rest 3 cases of clamp slipping occurred in the treated group,suggesting that this study method provides a new simple reliable therapy for UTFF and that the standard technical operation is the key of the accurate application of PCC.

关 键 词：胫腓骨不稳定型骨折/治疗 骨折固定术 经皮钳滑钳原因 处理方法 

分 类 号：R274.9[医药卫生—中西医结合]