单切口双钢板固定治疗胫腓骨远端骨折的效果观察  

Clinical efficacy of single-incision double plate fixation in the treatment of distal tibial fractures

作　　者：黄常盛 吕正涛 熊伟 王剑 何松 

机构地区：[1]江西省上饶市信州区清水医院微创骨科,江西上饶334000

出　　处：《中国当代医药》2015年第28期79-81,共3页China Modern Medicine

摘　　要：目的探讨单切口双钢板固定治疗胫腓骨远端骨折的临床疗效。方法选取2012年6月~2014年4月闭合性胫腓骨远端骨折患者64例,按患者的意愿分为观察组（n=34）和对照组（n=30）。观察组行单切口双钢板固定术,对照组行双切口双钢板固定术,比较两组的治疗效果。结果观察组平均手术时间、术中出血量和骨折愈合时间与对照组比较,差异无统计学意义（t=1.805,P〉0.05;t=0.490,P〉0.05;t=0.974,P〉0.05）。观察组平均住院天数显著少于对照组（t=3.755,P〈0.05）。观察组术后切口延迟愈合、皮肤坏死、合并感染例数和非计划再次手术例数均显著少于对照组（χ2=6.673,P〈0.01;χ2=4.338,P〈0.05;χ2=4.051,P〈0.05;χ2=5.334,P〈0.05）。结论单切口双钢板固定术治疗胫腓骨远端骨折的骨折愈合效果佳,可缩短住院天数,切口延迟愈合、皮肤坏死、合并感染、再次手术等的发生率低,是理想的治疗方法。Objective To investigate clinical efficacy of single-incision double plate fixation in the treatment of distal tibial fractures. Methods 64 patients with distal tibial fractures in our hospital from June 2012 to April 2014 were selected and divided into observation group（n=34） and control group（n=30）.Observation group was given single-incision double plate fixation,while control group was given double-incisions double plate fixation.Effect between two groups was compared. Results The mean operative time,average blood loss and healing time between two groups had no statistically significant difference（P0.05）.The hospitalization time of observation group was lower than that of control group（P0.05）.The number of the wound healing,skin necrosis,infection and cases of non-planned reoperation of observation group was significantly less than that of control group respectively（P0.05）. Conclusion In the treatment of distal tibial fractures,single-incision double plate fixation has a better healing effect and shorten the hospitalization time.The cases of wound healing,skin necrosis,infection and re-operation are less and it is an ideal treatment method.

关 键 词：胫腓骨远端骨折 双钢板固定 单切口 双切口 

分 类 号：R687.32[医药卫生—骨科学]