经皮微创钢板内固定术与切开复位内固定术在胫骨干骨折治疗中的效果比较  

Effect comparison of fixation technique of minirnally invasive plate osteosynthsis and open reduction and internal fixation in treatment of tibia shaft fracture

作　　者：苟波 张金康[2] 谢晓敏 祁文兵 白明华 

机构地区：[1]陕西省宝鸡市中医院骨科,陕西宝鸡721001 [2]空军总医院骨科,北京100142

出　　处：《中国医药导报》2017年第24期92-95,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(81400859)

摘　　要：目的探讨经皮微创钢板内固定术与切开复位内固定术在胫骨干骨折治疗中的效果。方法选择2015年1月~2017年3月宝鸡市中医院进行手术治疗的胫骨干骨折患者60例,根据治疗方法的不同,将患者分为观察组(30例)和对照组(30例)。对照组患者采用切开复位内固定术治疗,观察组患者采用经皮微创钢板内固定术进行治疗。比较两组患者的手术时间、术中出血量、疼痛程度、愈合时间以及并发症发生情况;比较两组的治疗效果。结果观察组患者的手术时间短于对照组,但差异无统计学意义(P>0.05);观察组患者的术中出血量、愈合时间均明显少于对照组,差异有统计学意义(P<0.05);观察组患者术后1、3、7 d的VAS评分均低于对照组,差异有统计学意义(P<0.05);观察组患者术后内固定松动、畸形、感染、下肢缺血坏死等并发症总发生率明显低于对照组,差异有统计学意义(P<0.05);观察组患者优良率明显高于对照组,差异有统计学意义(P<0.05)。结论与切开复位内固定术比较,采用经皮微创钢板内固定技术治疗胫骨干骨折,可明显减少术中出血量,缩短愈合时间,降低术后疼痛程度,安全而有效,值得临床上推广应用。Objective To discuss the effect of fixation technique of minirnally invasive plate osteosynthsis and open reduction and internal fixation in the treatment of tibia shaft fracture. Methods From January 2015 to March 2017, in Baoji Hospital of Traditional Chinese Medicine, 60 patients with tibia shaft fracture were selected, they were divided into two groups according to the treatment, observation group（30 cases） and control group（30 cases）. Patients in the control group were treated with open reposition imfixation, and patients in the observation group were treated with minirnally invasive plate osteosynthsis. The operation time, intraoperative blood loss, degree of pain, healing time, and the incidence of complications of patients were compared between the two groups; treatment effect of the two groups were compared. Results The operation time of observation group was shorter than that of the control group, but the difference was not statistically significant（P〈0.05）. The intraoperative blood loss and healing time of the observation group were significantly less than those of the control group, the differences were statistically significant（P〈0.05）. 1, 3, 7 days after surgery, the VAS scores of observation group were lower those that of the control group, and the differences were statistically significant（P〈0.05）. Postoperative internal fixation loosening, malformation, infection, lower limb ischemia necrosis were the main complications, total incidence of complications in the observation group were significantly lower than those of the control group, the difference were statistically significant（P〈0.05）; the excellence rate of the observed group was significantly higher than that of the control group, the difference was statistically significant（P〈0.05）.Conclusion Compared with open reduction and internal fixation, minirnally invasive plate osteosynthsis in the treatment of tibia shaft fracture can obviously reduce the intraoperative blood loss, shorten the healing time, red

关 键 词：胫骨干骨折 微创钢板内固定技术 切开复位内固定术 效果 

分 类 号：R683[医药卫生—骨科学]