探讨采用桥接组合式内固定系统外固定治疗开放性胫骨中下段骨折的临床疗效  

Exploring the Clinical Efficacy of Using a Bridging Combination Internal Fixation System for External Fixation in the Treatment of Open Fractures of the Middle and Lower Tibia

作　　者：刘仕友 宋华[1] 王明明[1] 杜洪洋 孙建华[1] LIU Shiyou;SONG Hua;WANG Mingming;DU Hongyang;SUN Jianhua(Department of Orthopedic Surgery,Tengzhou Central People's Hospital,Tengzhou 277500,Shandong,China)

机构地区：[1]滕州市中心人民医院骨创外科,山东滕州277500

出　　处：《系统医学》2024年第14期23-26,共4页Systems Medicine

基　　金：枣庄市科技发展计划项目(2022NS33)。

摘　　要：目的探究开放性胫骨中下段骨折采取桥接组合式内固定系统外固定治疗的临床效果。方法非随机选取2021年7月—2023年7月滕州市中心人民医院收治的60例开放性胫骨中下段骨折患者为研究对象。按手术方法的不同分成参照组(微创锁定钢板内固定术)与研究组(桥接组合式内固定系统外固定),各30例。比较两组患者的手术指标、治疗效果及并发症。结果两组手术时间、术中出血量比较,差异无统计学意义(P均>0.05)。研究组骨折愈合时间、完全负重运动时间短于参照组,差异有统计学意义(P均<0.05)。研究组患者的优良率为100.00%(30/30),高于参照组的80.00%(24/30),差异有统计学意义(χ^(2)=4.630,P<0.05)。研究组患者并发症发生率低于参照组,但差异无统计学意义(P>0.05)。结论桥接组合式内固定系统外固定治疗开放性胫骨中下段骨折能缩短骨折愈合时间,且不会增加并发症的发生。Objective To explore the clinical effect of using a bridge combination internal fixation system for external fixation treatment of open middle and lower tibial fractures.Methods Sixty patients with open lower middle tibia fractures admitted to Tengzhou Central People's Hospital from July 2021 to July 2023 were non-randomly selected as study objects.They were divided into the reference group(minimally invasive locking plate internal fixation)and the research group(external fixation with bridging combined internal fixation system)according to the different surgical methods,30 cases each.The surgical indexes,treatment effects and complications of the two groups were compared.Results There was no statistically significant difference between the two groups in terms of operation time and intraoperative bleeding(both P>0.05).The fracture healing time and full weight-bearing exercise time of the study group were shorter than those of the reference group,and the differences were statistically significant(both P<0.05).The excellent rate of patients in the study group was 100.00%(30/30),which was higher than 80.00%(24/30)in the reference group,the difference was statistically significant(χ^(2)=4.631,P<0.05).The complication rate of patients in the study group was lower than that of the reference group,but the difference was not statistically significant(P>0.05).Conclusion Bridging combined internal fixation system external fixation for the treatment of open middle and lower tibial fractures can shorten the fracture healing time and reduce can not increase the incidence of complications.

关 键 词：桥接组合式内固定系统外固定 胫骨中下段骨折 优良率 

分 类 号：R61[医药卫生—外科学]