开放复位普通接骨与微创经皮钢板接骨术在高能量胫骨干骨折治疗中的效果比较  

Open reduction and osteosynthesis of common minimally invasive percutaneous plate osteosynthesis in treat-ment of high energy tibial fracture

作　　者：刘畅[1] 蔡靖宇[1] 

机构地区：[1]武警安徽省总队医院骨科,安徽省合肥237000

出　　处：《中国基层医药》2016年第15期2307-2310,I0002,共5页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：比较开放复位普通接骨与微创经皮钢板接骨术（MIPPO）在高能量胫骨干骨折治疗中的效果。方法选取高能量胫骨干骨折患者42例，根据患者情况及治疗方法不同分为两组，采用开放复位普通接骨治疗（开放组）22例，采用 MIPPO 技术治疗（MIPPO 组）20例，观察两组手术指标、术后并发症与临床疗效。结果 MIPPO 组手术时间、术中出血量、骨折愈合时间分别为（75．2±9．7）min、（107．3±11．3）mL、（13．1±3．0）周，开放组手术时间、术中出血量、骨折愈合时间分别为（73．4±10．0）min、（208．5±16．3）mL、（18．2±4．7）周，两组手术时间差异无统计学意义（P ＞0．05），两组术中出血量、骨折愈合时间差异均有统计学意义（t ＝23．153、4．143，均 P ＜0．05）；MIPPO 组并发症发生率为10．0％、胫骨干骨折愈合功能优良率为95．0％，开放组并发症发生率为36．4％、胫骨干骨折愈合功能优良率为72．7％，两组差异均有统计学意义（χ2＝12．316、22．964，均 P ＜0．01）。结论 MIPPO 技术在高能量胫骨干骨折治疗中，具有术中出血量少、骨折愈合快，且功能疗效显著的特点，值得推广。Objective To open the reset common bone and open ordinary osteosynthesis（MIPPO）（in effect in the treatment of high energy tibial fracture.Methods High energy tibial fracture in 42 cases of patients,according to the condition of the patient and the treatment were divided into two groups,using open reduction and bone treatment （open group,22 cases）,treated with MIPPO technique（MIPPO group,20 cases）.The indicators of operation,postop-erative complications and clinical efficacy of the two groups were observed.Results The operation time,intraopera-tive bleeding volume,fracture healing time of the MIPPO group were （75.2 ±9.7）min,（107.3 ±11.3）mL,（13.1 ± 3）weeks,which of the open group were （73.4 ±10）min,（208.5 ±16.3）mL,（18.2 ±4.7）weeks,the two groups had no statistically significant differences in operative time（P 〉0.05）,two groups of blood loss,fracture healing time, the differences were statistically significant（t =23.153,4.143,all P 〈0.05）;the complication rate in the MIPPO group was 10.0%,tibial shaft fracture healing function excellent rate was 95.0%.The complication rate of the open groupwas healing function excellent rate was 72.7%,36.4% tibial shaft fracture,there were significant differences between the two groups（χ2 =12.316,22.964,all P 〈0.01）.Conclusion MIPPO technology in the treatment of high energy tibial shaft fractures,with less bleeding,fracture healing fast,and the characteristics of a significant effect, which is worth promoting.

关 键 词：胫骨干骨折 微创经皮钢板接骨术 骨折固定术 

分 类 号：R687.3[医药卫生—骨科学]