胫骨交锁髓内钉与微创经皮钢板对比治疗胫骨中下段骨折的临床疗效分析  

Analysis of Clinical Curative Effect of Interlocking Nail Fixation in Fractures of Tibia and Minimally Invasive Percutaneous Plating in Treatment of Middle and Lower Tibial Fractures

作　　者：周智勋 滕立初 陈拓 陈涤新 黄屾 温科伟 

机构地区：[1]广西梧州市人民医院骨科,广西梧州543000

出　　处：《中外医疗》2017年第14期79-81,共3页China & Foreign Medical Treatment

摘　　要：目的研究评价胫骨髓内钉治疗胫骨中下段骨折的临床疗效。方法方便选取2009年2月—2016年5月该院110例胫骨中下段骨折患者进行观察,随机分成A、B两组,分别采用胫骨髓内钉手术治疗及标准微创加压钢板法治疗。于术后对所有患者进行疗效评价,统计两种术式术中出血量、手术时间、住院天数、术后肿胀消退时间等并进行对比。结果 A组优35(63.63%)例,良13(23.63%)例,中7(12.73%)例,差0(0.00%)例,优良率为87.27%,有效率为100.00%。B组优23(41.82%)例,良14(25.45%)例,中12(21.82%)例,差6(10.91%)例,优良率为67.27%,有效率为89.09%。A组有效率及优良率明显高于B组,差异有统计学意义(P<0.05)。A组患者的术中出血量、手术时间、术后肿胀时间均明显少于B组(P<0.05),两组住院天数差异无统计学意义(P>0.05)。结论胫骨髓内钉治疗胫骨中下段骨折的临床疗效值得肯定,应值得推广。Objective To research the clinical curative effect of interlocking nail fixation in fractures of tibia and minimally invasive percutaneous plating in treatment of middle and lower tibial fractures.Methods conveniently 110 cases of patients with middle and lower tibial fractures treated in our hospital from February 2009 to May 2016 were selected for observation and randomly divided into two groups,respectively treated with interlocking nail fixation in fractures of tibia and minimally invasive percutaneous plating,and the curative effect of all patients after operation was evaluated and the intraoperative bleeding amount,operation time,length of stay and postoperative swelling time were compared between the two groups.Results In the group A,35 cases were excellent（63.63%）,13 cases were good（23.63%）,7 cases were fair（12.73%） and 0case was bad（0.00%） and the excellent and good rate was 87.27%,and the effective rate was 100.00%,in the group B,23 cases were excellent（41.82%）,14 cases were good（25.45%）,12 cases were fair（21.82%） and 6 cases were bad（10.91%）,the excellent and good rate was 67.27% and the effective rate was 89.09%,and the effective rate and excellent and good rate in the group A were obviously higher than those in the group B,and the differences were statistically significant（P〈0.05）,and the intraoperative bleeding amount,operation time and postoperative swelling time in the group A were obviously fewer than those in the group B（P〈0.05）,and there was no obvious difference in the length of stay between the two groups（P〈0.05）.Conclusion The clinical curative effect of interlocking nail fixation in fractures of tibia in treatment of middle and lower tibial fractures is positive,which is worth promotion.

关 键 词：胫骨髓内钉 胫骨中下段骨折 加压钢板法 

分 类 号：R687[医药卫生—骨科学]