微创经皮钢板固定术治疗胫骨远端关节外骨折患者的效果分析  

Effect Analysis of Mini-invasive Percutaneous Plate Osteosynthesis in Treat-ment of Patients with Distal Tibial? Extra-Articular Fracture

作　　者：陈怀东[1] 

机构地区：[1]山东泰安市第四人民医院急诊科,山东泰安271000

出　　处：《中外医疗》2016年第10期62-63,共2页China & Foreign Medical Treatment

摘　　要：目的分析胫骨远端关节外骨折患者行微创经皮钢板固定术治疗的效果。方法方便选取该院2014年8月—2015年8月收治的胫骨远端关节外骨折90例患者资料进行回顾性分析,根据治疗所用不同方案分成两组,将行交锁髓内钉治疗38例患者设为对照组,将行微创经皮钢板固定术治疗52例患者设为观察组,对比两组临床指标、踝关节功能与并发症。结果观察组手术时间和骨折愈合时间均比对照组短,观察组Mazur评分均比对照组优,且总并发症率3.85%比对照组28.95%低(P<0.05)。结论胫骨远端关节外骨折患者行微创经皮钢板固定术治疗可缩短手术与骨折愈合时间,恢复患者踝关节功能,并减少并发症发生,可应用于临床。Objective To analyze the effect of mini-invasive percutaneous plate osteosynthesis in treatment of patients with distal tibial extra-articular fracture. Methods The data of 90 cases of patients with distal tibial extra-articular fracture admitted and treated in our hospital from August 2014 to August 2015 were retrospectively analyzed and divided into two groups according to the different treatment plans, the control group（38 cases） were treated with interlocking intramedullary nail, the observation group（52 cases） were treated with mini-invasive percutaneous plate osteosynthesis, the clinical indexes, functions of ankle joint and complications of the two groups were compared. Results The operation time and fracture healing time in the observation group were shorter than those in the control group, the Mazur score in the observation group was better than that in the control group, and the total complication rate in the observation group was lower than that in the control group,（3.85% vs 28.95%）, P〈0.05. Conclusion Mini-invasive percutaneous plate osteosynthesis in treatment of patients with distal tibial extra-articular fracture can shorten the operation time and fracture healing time, recover the function of ankle joint and reduce the occurrence of the complications, which can be used in clinic.

关 键 词：胫骨远端关节外骨折 交锁髓内钉 微创经皮钢板固定术 

分 类 号：R5[医药卫生—内科学]