外固定支架/内固定接骨板治疗胫骨中下段骨折的对比研究  

The Comparative Study of External Fixators and Internal Fixation Plates for the Treatment of Tibial Fracture Patients

作　　者：蔡伟凡[1] 闫振升[1] 林谦[1] 王劲[1] 毛坤祥[1] 何爱咏[2] 

机构地区：[1]湖南省常德市第一人民医院骨科,常德415000 [2]中南大学湘雅二医院骨科,长沙410011

出　　处：《中国现代手术学杂志》2012年第5期359-361,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的对比研究外固定支架和内固定接骨板治疗胫骨中下段骨折的优缺点,为临床治疗提供参考。方法统计我院2009年5月～2011年6月采用外固定支架(A组)及内固定接骨板(B组)治疗的胫骨下段骨折患者57例,A组27例,B组30例,从手术时间、手术切口长度、总治疗费用、骨折临床愈合时间、骨不连发生率等方面进行统计,利用PASW Statistics18.0统计软件对结果进行分析。结果 A组平均手术时间为(39.26±8.26)min,B组平均手术时间为(48.90±9.94)min,A组平均手术切口长度(8.13±1.52)cm,B组平均为(12.34±1.91)cm,A组骨折临床愈合时间平均为(9.6±0.8)周,B组平均为(12.3±1.0)周,A组总治疗费用平均(6 790.4±256.0)元,B组平均为(9 620.6±386.7)元,A组在平均手术时间、平均切口长度、骨折临床愈合时间和总治疗费用上具有明显优势,差异具有统计学意义(P<0.05)。A组骨不连发生率3.7%(1/27),B组为6.7%(2/30),A组低于B组,但差异无统计学意义(P>0.05)。结论外固定支架治疗胫骨中下段骨折相对内固定接骨板而言,虽短期内对患者生活影响较大,但手术时间短,手术损伤相对较小,骨折临床愈合快,骨不连发生率不高,且治疗费用低,仍值得推广。Abstract： Objective To analyze the contradistinction of external fixators and internal fixation plates in repairing of the tibial fractures, so as to provide a reference for the clinical treatment. Methods 57 patients with tibial fractures were divided into two groups. 27 cases of group A were fixed by external fixators and 30 ca- ses of group B treated with internal fixation plates. Assessments were made for the items of operation time, inci- sion length, healing time, nonunion incidence and total cost. And the statistics results were obtained by the software of PASW Statistics18.0. Results It showed significant differences （P 〈 0.05）in group A and B of the mean operation time, （39.26 ± 8.26）minutes vs. （48.90 ± 9.94）minutes, the incision length of（ 8.13 ± 1.52） cm vs. （ 12.34 ± 1.91 ） cm, the healing time of （9.6 ± O. 8 ） weeks vs. （ 12.3 ± 1.0） weeks, and the total cost of（6 790.4 ± 256.0） RMB vs. （9 620.6 ± 386.7 ） RMB. But the nonunion incidence of group A and B showed no difference, which was 3.7% （1/27） and 6.7% （2/30） in group A and B respectively. Conclusion Compared with internal fixation plates, the external fixators can get more dominance of the shorter operation time, less trauma, a higher healing rate, and less cost, although with a short-term discomfort.

关 键 词：胫骨骨折 骨折固定术 支架(骨科) 内固定器 对比研究 

分 类 号：R687.3[医药卫生—骨科学]