微创经皮钢板内固定治疗胫骨骨折的效果
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摘要
目的研究微创经皮钢板内固定治疗胫骨骨折的临床效果。方法选取我院收治的胫骨骨折患者90例,以随机数字表法分实验组(微创经皮钢板内固定)与常规组(闭合复位交锁髓内钉)各45例,两组手术效果(手术时间、骨折愈合时间、术中出血量、Mazur评分)与并发症发生情况对比。结果与常规组比,实验组手术效果显著,实验组并发症发生率(6.67%)低于常规组(22.22%),差异有统计学意义(P <0.05)。结论对胫骨骨折患者采用微创经皮钢板内固定治疗能显著提高临床疗效,降低其并发症发生几率,促进患者踝关节功能恢复,改善预后与生活质量,治疗效果显著,值得临床推广应用。
Objective To study the clinical effect of minimally invasive percutaneous plate internal fixation for the treatment of tibiofibular fractures. Methods Ninety patients with tibiofibular fractures admitted to our hospital were enrolled in this study. The experimental group(minimally invasive percutaneous plate fixation) and the conventional group(closed reduction and interlocking intramedullary nail) were randomly divided into 45 cases.(Surgery time, fracture healing time, intraoperative blood loss, Mazur score) and complications occurred. Results Compared with the conventional group, the experimental group had a significant effect. The complication rate of the experimental group(6.67%) was lower than that of the conventional group(22.22%)(P<0.05). Conclusion Minimally invasive percutaneous plate internal fixation for patients with tibiofibular fracture can significantly improve the clinical efficacy, reduce the incidence of complications, promote the recovery of ankle function, improve the prognosis and quality of life, and make the treatment effect significant. It is worthy of clinical application.
Objective To study the clinical effect of minimally invasive percutaneous plate internal fixation for the treatment of tibiofibular fractures. Methods Ninety patients with tibiofibular fractures admitted to our hospital were enrolled in this study. The experimental group(minimally invasive percutaneous plate fixation) and the conventional group(closed reduction and interlocking intramedullary nail) were randomly divided into 45 cases.(Surgery time, fracture healing time, intraoperative blood loss, Mazur score) and complications occurred. Results Compared with the conventional group, the experimental group had a significant effect. The complication rate of the experimental group(6.67%) was lower than that of the conventional group(22.22%)(P<0.05). Conclusion Minimally invasive percutaneous plate internal fixation for patients with tibiofibular fracture can significantly improve the clinical efficacy, reduce the incidence of complications, promote the recovery of ankle function, improve the prognosis and quality of life, and make the treatment effect significant. It is worthy of clinical application.
引文
[1]葛野.交锁髓内钉与微创经皮钢板内固定治疗胫骨中下段骨折临床效果及生物力学性能分析[J].中国疗养医学,2018,27(8):840-841.
[2]方云生.胫骨骨折采用微创经皮钢板内固定与传统手术治疗的临床效果比较[J].深圳中西医结合杂志,2018,28(15):187-188.
[3]刘敏杰,陆瑾,张辉,等.微创经皮钢板内固定术治疗胫骨Pilon骨折的效果探究[J].当代医药论丛,2018,16(12):76-78.
[4]刘立才.微创经皮钢板内固定治疗胫骨骨折的临床效果[J].中国医药指南,2018,16(11):180-181.
[5]郝兴哲,李克俭.微创经皮钢板内固定技术治疗胫骨骨折49例疗效分析[J].创伤外科杂志,2018,20(1):64-66.
[6]李伟,杨成,赵卫东,等.微创经皮钢板内固定治疗胫骨骨折临床效果观察[J].医学信息,2018,31(1):16-18.
[7]戴醒明,杨效宁,孙一公,等.微创经皮钢板内固定术与切开复位钢板内固定术治疗胫骨PILON骨折疗效比较研究[J].现代生物医学进展,2017,17(32):6320-6323,6353.
[8]沈鹏远,俞伟.微创经皮钢板与切开复位内固定治疗胫骨中下段骨折疗效比较[J].浙江创伤外科,2017,22(4):730-731.
[9]古群,胡志伟,李洵,等.传统切开复位内固定与微创经皮钢板内固定手术治疗PilonⅢ型骨折疗效观察[J].中国现代药物应用,2016,10(5):58-59.
[10]龚辉,朱东波,丁剑锋,等.微创经皮钢板接骨术与切开复位内固定术治疗胫骨中下段骨折对比研究[J].中国医学前沿杂志(电子版),2016,8(2):68-73.
[11]成晓波.对比交锁髓内钉内固定术与微创经皮钢板内固定术治疗胫骨骨折的临床有效性[J].临床医药文献电子杂志,2015,2(14):2695-2696.
[12]石武谛,柯雯昙.微创经皮钢板固定术与交锁髓内钉治疗胫骨远端关节外骨折效果比较[J].医学理论与实践,2018,31(14):2123-2124.
[2]方云生.胫骨骨折采用微创经皮钢板内固定与传统手术治疗的临床效果比较[J].深圳中西医结合杂志,2018,28(15):187-188.
[3]刘敏杰,陆瑾,张辉,等.微创经皮钢板内固定术治疗胫骨Pilon骨折的效果探究[J].当代医药论丛,2018,16(12):76-78.
[4]刘立才.微创经皮钢板内固定治疗胫骨骨折的临床效果[J].中国医药指南,2018,16(11):180-181.
[5]郝兴哲,李克俭.微创经皮钢板内固定技术治疗胫骨骨折49例疗效分析[J].创伤外科杂志,2018,20(1):64-66.
[6]李伟,杨成,赵卫东,等.微创经皮钢板内固定治疗胫骨骨折临床效果观察[J].医学信息,2018,31(1):16-18.
[7]戴醒明,杨效宁,孙一公,等.微创经皮钢板内固定术与切开复位钢板内固定术治疗胫骨PILON骨折疗效比较研究[J].现代生物医学进展,2017,17(32):6320-6323,6353.
[8]沈鹏远,俞伟.微创经皮钢板与切开复位内固定治疗胫骨中下段骨折疗效比较[J].浙江创伤外科,2017,22(4):730-731.
[9]古群,胡志伟,李洵,等.传统切开复位内固定与微创经皮钢板内固定手术治疗PilonⅢ型骨折疗效观察[J].中国现代药物应用,2016,10(5):58-59.
[10]龚辉,朱东波,丁剑锋,等.微创经皮钢板接骨术与切开复位内固定术治疗胫骨中下段骨折对比研究[J].中国医学前沿杂志(电子版),2016,8(2):68-73.
[11]成晓波.对比交锁髓内钉内固定术与微创经皮钢板内固定术治疗胫骨骨折的临床有效性[J].临床医药文献电子杂志,2015,2(14):2695-2696.
[12]石武谛,柯雯昙.微创经皮钢板固定术与交锁髓内钉治疗胫骨远端关节外骨折效果比较[J].医学理论与实践,2018,31(14):2123-2124.