闭合复位带锁髓内钉与经皮微创锁定加压钢板内固定治疗胫骨骨折的效果比较  

Comparison of the effects of closed reduction and interlocking intramedullary nail and percutaneous minimally invasive locking compression plate in treatment of tibial fractures

作　　者：崔建平[1] 刘建东[1] 高思宇[1] 

机构地区：[1]山西省保德县人民医院骨科,036600

出　　处：《中国基层医药》2017年第15期2355-2358,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 比较闭合复位带锁髓内钉与经皮微创锁定加压钢板内固定治疗胫骨骨折的效果.方法 选取胫骨骨折患者70例为研究对象,采用随机数字表法分为对照组35例、观察组35例,对照组采用闭合复位带锁髓内钉固定治疗,观察组采用经皮微创锁定加压钢板固定治疗,观察两组患者相关手术指标、治疗后并发症、治疗效果.结果 观察组手术时间、住院时间、骨折愈合时间分别为（70.37±11.06）min、（13.39±3.02）d、（3.02±0.61）个月,均短于对照组的（82.13±12.15）min、（16.26±3.21）d、（4.21±0.70）个月（t=4.234、3.852、7.582,均P〈0.05）;观察组并发症发生率为14.28%（5/35）,低于对照组的51.42%（18/35）（χ^2=10.943,P〈0.05）;观察组优良率为94.28%（33/35）,高于对照组的74.28%（26/35）（χ^2=5.285,P〈0.05）.结论 闭合复位带锁髓内钉和经皮微创锁定加压钢板内固定均能成功治疗胫骨骨折,但带锁髓内钉容易导致延迟愈合,并发症和二次手术率较高,经皮微创锁定加压钢板内固定能够缩短愈合时间,疗效更佳.Objective To compare the effects of closed reduction and interlocking intramedullary nail and percutaneous minimally invasive locking compression plate in treatment of tibial fractures.Methods 70 patients with tibial fractures were selected as research subjects,and they were randomly divided into the control group and the observation group according to the digital table,each group in 35cases.The control group was treated with closed reduction and interlocking intramedullary nail,while the observation group was treated with percutaneous minimally invasive locking compression plate.Then,the operation index,postoperative complications,treatment effect after treatment between two groups were compared.Results The operation time,fracture healing time,length of stay in the observation group were less than those in the control group[（70.37±11.06）min vs.（82.13±12.15）min,（3.02±0.61）month vs.（4.21±0.70）month,（13.39±3.02）d vs.（16.26±3.21）d]（t=4.234,3.852,7.582,all P〈0.05）.The incidence rate of complication in the observation group was lower than that in the control group[14.28%（5/35） vs.51.42%（18/35）]（χ^2=10.943,P〈0.05）.The excellent rate in the observation group was statistically higher than that in the control group[94.28%（33/35） vs.74.28%（26/35）]（χ^2=5.285,P〈0.05）.Conclusion Closed reduction and interlocking intramedullary nail and minimally invasive percutaneous locking compression plate are successful in the treatment of tibial fracture,but interlocking intramedullary nail easily leads to delayed healing,complications and higher rate of surgery two times,while minimally invasive percutaneous locking compression plate can promote healing,curative effect is better.

关 键 词：胫骨骨折 骨折固定术 髓内 骨钉 外科手术 微创性 

分 类 号：R687.3[医药卫生—骨科学]