微创经皮锁定加压钢板内固定治疗胫骨远端骨折30例临床疗效观察  

Clinical observation of percutaneous minimally invasive locking compression plate in 30 patients

作　　者：何少斌[1] 

机构地区：[1]湖北省十堰市太和医院骨科,湖北十堰442000

出　　处：《实用临床医药杂志》2013年第19期64-65,77,共3页Journal of Clinical Medicine in Practice

摘　　要：目的 探讨微创经皮锁定加压钢板内固定治疗胫骨远端骨折的临床疗效.方法 选择胫骨远端骨折患者60例,随机分为观察组与对照组,每组30例.对照组给予常规切开复位内固定术治疗,观察组给予微创经皮锁定加压钢板内固定治疗,比较2组患者治疗效果.结果 观察组手术时间与骨折愈合时间显著低于对照组,术中出血量显著少于对照组（P＜0.01）;随访1～～2年,观察组优良率为90.0％ （27/30）,显著高于对照组的63.3％ （19/30）（P＜0.05）.结论 微创经皮锁定加压钢板内固定术在胫骨远端骨折患者治疗中具有确切疗效,能够有效加速骨折愈合,值得临床推广.Objective To discuss the clinical effects of percutaneous minimally invasive locking compression plate in patients with distal tibial fracture. Methods Sixty patients with distal tibial fracture were randomly divided into the observation group （ n = 3 0 ） and the control group （n = 30）, the observation group was treated with percutaneous minimally invasive locking compres- sion plate, and the control group were treated with conventional open reduction and internal fixa- tion, then the clinical dfects were contrasted between the two groups. Results Surgical time and fracture healing time of the observation group were significantly shorter than the control group （P 〈 0.01）, and blood loss was significantly less than the control group （P 〈 0.01）. The excellent rate of the observation group was 90.0% （27/30）, significantly higher than 63.3% （19/30） in the control group （P 〈 0.05）. Conclusion Percutaneous minimally invasive locking compression plate has obvious effects in patients with distal tibial fracture, it can effectively accelerate the fracture healing, and it＇s worthy of promotion.

关 键 词：微创 经皮锁定加压钢板内固定术 胫骨远端骨折 

分 类 号：R683.4[医药卫生—骨科学]