带锁髓内钉与经皮钢板治疗胫骨骨折的临床疗效比较  

Clinical effects comparison of interlocking intramedullary nailing and percutaneous plate in the treatment of tibia fractures

作　　者：何忠成 宋仕刚 王川[1] HE Zhong-cheng;SONG Shi-gang;WANG Chuan(Orthopedics Department,Panzhihua Central Hospital,Panzhihua 617067,China)

机构地区：[1]攀枝花市中心医院骨科,四川攀枝花617067

出　　处：《临床医学研究与实践》2018年第22期62-64,共3页Clinical Research and Practice

摘　　要：目的对比研究带锁髓内钉与经皮钢板治疗胫骨骨折的临床疗效。方法随机选取经带锁髓内钉治疗的患者(观察组)、经皮锁定钢板治疗的患者(对照组)各20例为研究对象。比较两组患者的手术情况、并发症发生情况及临床疗效。结果与对照组比较,观察组的住院时间更短,但手术时间更长、术中及术后出血量更多(P<0.05)。两组患者治疗总有效率及并发症总发生率比较,差异不显著(P>0.05)。结论带锁髓内钉和经皮钢板两种方法治疗胫骨骨折都能取得满意疗效,带锁髓内钉在减少对皮肤软组织的损伤方面更具优势,建议在治疗皮肤条件不好或担心伤口可能出现愈合不良的患者时采用带锁髓内钉治疗。Objective To compare the clinical effects of percutaneous plate and interlocking intramedullary nailing inthe treatment of tibia fractures. Methods A total of 20 patients with interlocking intramedullary nailing （observation group）and 20 patients with percutaneous plate （control group） were randomly selected as study objects. The surgery situation,complications situation and clinical effects of the two groups were compared. Results Compared with the control group, theobservation group had shorter hospital stay, but the operation time was longer, and the amount of bleeding during and afteroperation were more （P〈0.05）. There were no significant differences in the total effective rates of treatment and totalincidence of complications between the two groups （P〉0.05）. Conclusion The treatment of tibia fractures with interlockingintramedullary nailing or percutaneous plate both can achieve satisfactory effect. The interlocking intramedullary nail hasan advantage in reducing damage to the soft tissue of the skin, it is recommended to use the locking intramedullary nail inthe treatment of patients with poor skin conditions or fear of poor healing of the wound.

关 键 词：带锁髓内钉 经皮钢板 胫骨骨折 

分 类 号：R687.3[医药卫生—骨科学]