带锁髓内钉与经皮微创钢板治疗胫骨中下段骨折的临床疗效比较

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1、提要目的：比较带锁髓内钉和经皮微创钢板两种内固定方法治疗胫骨干中下段骨折的优缺点，为临床治疗提供参考。方法：选取2009.7-2011.7本科收治的胫骨中下段骨折病人50例，随机分为带锁髓内钉固定组和经皮微创钢板固定组。观察两者手术时间、术中出血量、透视次数、术后并发症、住院天数、骨折临床愈合时间，采用胫骨骨折（Johner&Wruh，1983）疗效评估标准评估患肢功能，评定带锁髓内钉与经皮微创钢板的治疗效果。结果：带锁髓内钉固定组与经皮微创钢板固定组相比，两组手术时间、术中透视次数之间的差别有统计学

2、意义(P<0.05)，经皮微创钢板固定组的手术时间较短，透视次数较少；两组住院时间、术中出血量、并发症发生率、骨折临床愈合时间及术后近期临床疗效之间的差别无统计学意义(P>0.05)。结论：两种内固定方式对胫骨中下段骨折均为有效治疗方法。经皮微创钢板内固定术治疗胫骨中下段骨折手术时间短、透视次数少，较为简单；而住院时间、术中出血量、术后并发症、骨折临床愈合时间、骨折近期临床疗效与带锁髓内钉内固定术相近。关键词胫骨中下段骨折；带锁髓内钉；经皮微创钢板；临床疗效观察。AComparativestudyof

3、InterlockingIntramedullaryNailversusMinimallyInvasivePercutaneousPlateOsteosynthesisintheTreatmentofTibiaFractureSpeciality:OrthopaedicsofTraditionalChineseMedicineAuthor:DuanXiaodongTutor:Prof.XiaoYiAbstractObjective:Tocomparetheadvantagesanddisadvanta

4、gesofinterlockingintramedullarynailandminimallyinvasivepercutaneousplateosteosynthesisinthetreatmentoftibiafracture,inordertoprovideareferenceforclinicaltreatment..Methods:Fiftycasesoftibiafracture,treatedfromJuly2009toJuly2011,wererandomlydividedintotw

5、ogroups,onegroupweretreatedwithinterlockingintramedullarynail,andanotherweretreatedwithminimallyinvasivepercutaneousplateosteosynthesis.Theoperationtime,bloodlosscases,thenumberofperspective，postoperativecomplications,hospitalizationdays,fracturehealing

6、timeandclinicaleffectinnearperiodoftimewereobservered.Finallytoassesstheaffectedlimbbyusingtheefficacyevaluationcriteriaoftibialfractures(Johner&Wruh,1983),inordertostudytheefficacyofinterlockingintramedullarynailandminimallyinvasivepercutaneousplateost

7、eosynthesisinthetreatmentoftibiafracture.Results:Thereweresignificantdifferencebetweentwogroupsinoperationtimeandthenumberofperspective(P<0.05),thegrouptreatedwithminimallyinvasivepercutaneousplateosteosynthesishasashorteroperationtimeandalessnumberofpe

8、rspective.Intheaspectsofhospitalizationtime,bloodlosscases，postoperativecomplications，fractureclinicalhealingtimeandclinicaleffectinnearperiodoftime,thetwogroupshadnosignificantdifference(P>0.05).Conclusion:Thetwomethodswerebothe