膝关节镜辅助下微创手术与传统手术治疗胫骨平台骨折的疗效比较  

Clinical efficacy comparison of minimally invasive surgery by mirror auxiliary and traditional operation for treatment of tibial plateau fractures

作　　者：陈枫[1] 徐红野 朱国庆[2] 田庆显[3] 

机构地区：[1]浙江省台州市第一人民医院骨科,浙江台州318020 [2]浙江省绍兴市人民医院骨科,浙江绍兴312000 [3]首都医科大学附属北京朝阳医院骨科,北京100043

出　　处：《中国现代医生》2013年第10期154-155,158,共3页China Modern Doctor

基　　金：国家自然科学基金(81071515)

摘　　要：目的探讨膝关节镜辅助下微创手术与传统手术治疗胫骨平台骨折的疗效差异。方法按治疗方法将2010年2月～2012年2月住我院骨科治疗的88例胫骨平台骨折患者分为A组和B组,A组患者行切开复位钢板内固定术,B组患者行膝关节镜辅助下微创手术,比较A组和B组患者的临床疗效和安全性。结果 B组患者手术时间、术后住院天数和术后住院费用均明显少/短于A组,差异均有统计学意义(P<0.05);B组患者治疗总有效率明显高于A组患者,差异有统计学意义(P<0.05);两组在并发症发生率上差异无统计学意义(P>0.05)。结论膝关节镜辅助下微创手术治疗胫骨平台骨折疗效确切,安全可靠,并发症少,值得推广应用。Objective To evaluate the clinical efficacy of minimally invasive surgery by mirror auxiliary and open re duction and plate fixation for treatment of tibial plateau fractures.Methods Eighty-eight patients who were diagnosed with tibial plateau fractures were divided into A group and B group by using a random number table,patients in A group were given open reduction and plate fixation,but patients in B group were given minimally invasive surgery by mirror auxiliary,then the clinical efficacy and safety of the twogroups were compared.Results The operation time,postoperative hospitalization days and postoperative hospitalization expense were less in B group than that in A group（P〈0.05）;the clinical efficacy were more in B group than that in A group（P〈0.05）,and complications were no statistical significance（P〈0.05）.Conclusion The clinical efficacy of minimally invasive surgery by mirror auxiliary for treatment of tibial plateau fractures is a safe and less complications,it is worthy of clinical application.

关 键 词：膝关节镜 传统手术 胫骨平台骨折 对照研究 

分 类 号：R687.3[医药卫生—骨科学]