经皮钳固定治疗胫腓骨不稳定型骨折的多中心临床观察与疗效评价  

Multicentre Study on Treatment of Unstable Tibiofibular Fracture with Percutem Clamp Therapy

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,河南洛阳471002 [2]河南省登封市骨科医院 [3]河南省中医院

出　　处：《中国中西医结合杂志》2007年第1期25-28,共4页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：国家中医药管理局临床诊疗技术整理与研究项目(No.国中医药科2001ZL09)

摘　　要：目的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。方法为前瞻性、标准对照的多中心临床试验。观察对象为200例符合纳入标准的胫腓骨不稳定型骨折患者,试验分为治疗组和对照组。治疗组采用经皮钳固定治疗,对照组采用单侧多功能外固定支架治疗。结果两组固定操作时间,治疗后1周末、去除固定器具后临床总计分及临床愈合时间及远期综合疗效评价比较,治疗组优于对照组。经CMH x2检验,考虑中心效应后,临床总疗效比较,差异仍有显著性(P<0．01)。安全性评估两组比较,经CMH x2检验,差异有显著性(P<0．01)。结论本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,具有临床应用与推广价值。Objective To objectively evaluate the clinical efficacy, safety and technical operating standard of percutem clamp fixation （PCCF）, an operation designed by imitating bone setting method of TCM, in treating unstable tibiofibular fracture （UTF）. Methods A prospective controlled multicentre clinical study was carried out on 200 patients with UTF, they were assigned to the treated group （99 cases） treated with PCCF and the control group （101 cases） treated with unilateral multifunctional external fixator （UMFEF）. Results PCCF showed better effects than UMFEF in reducing the time of fixing operation and healing time; and the immediate effect after removing the fixating apparatus and long-term efficacy as well as safety in the treated group were also superior to those in the control group （P〈0.01）. Conclusion It is convenient, safe and effective to treat UTF by fixation with percutem clamp.

关 键 词：胫腓骨不稳定型骨折 经皮钳治疗 

分 类 号：R687.3[医药卫生—骨科学]