中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
27期
17-18,19
,共3页
胫骨干骨折%微创%闭合复位%髓内钉%钢板
脛骨榦骨摺%微創%閉閤複位%髓內釘%鋼闆
경골간골절%미창%폐합복위%수내정%강판
Tibial shaft fractures%Minimally invasive%Closed reduction%Intramedullary nail%Steel
目的：研究微创闭合复位带锁髓内钉治疗胫骨干骨折的临床疗效。方法：对2011年7月-2013年7月笔者所在医院收治的42例胫骨干闭合性骨折患者，随机分为试验组和对照组。试验组采用微创闭合复位带锁髓内钉固定21处骨折，对照组采用切开复位钢板固定21处骨折。比较两种内固定方式患者手术切口长度、手术时间、术中出血量、骨折愈合时间、术后并发症的差异。结果：试验组切口长度、骨折愈合时间分别与对照组比较，差异有统计学意义(P<0.05)，手术时间、术中出血量、术后并发症与对照组比较差异无统计学意义(P>0.05)。结论：微创闭合复位带锁髓内钉内固定治疗胫骨干骨折具手术切口小、愈合时间快、术后并发症少、术中创伤小、术后功能恢复快的优点，临床疗效好，值得临床推广。
目的：研究微創閉閤複位帶鎖髓內釘治療脛骨榦骨摺的臨床療效。方法：對2011年7月-2013年7月筆者所在醫院收治的42例脛骨榦閉閤性骨摺患者，隨機分為試驗組和對照組。試驗組採用微創閉閤複位帶鎖髓內釘固定21處骨摺，對照組採用切開複位鋼闆固定21處骨摺。比較兩種內固定方式患者手術切口長度、手術時間、術中齣血量、骨摺愈閤時間、術後併髮癥的差異。結果：試驗組切口長度、骨摺愈閤時間分彆與對照組比較，差異有統計學意義(P<0.05)，手術時間、術中齣血量、術後併髮癥與對照組比較差異無統計學意義(P>0.05)。結論：微創閉閤複位帶鎖髓內釘內固定治療脛骨榦骨摺具手術切口小、愈閤時間快、術後併髮癥少、術中創傷小、術後功能恢複快的優點，臨床療效好，值得臨床推廣。
목적：연구미창폐합복위대쇄수내정치료경골간골절적림상료효。방법：대2011년7월-2013년7월필자소재의원수치적42례경골간폐합성골절환자，수궤분위시험조화대조조。시험조채용미창폐합복위대쇄수내정고정21처골절，대조조채용절개복위강판고정21처골절。비교량충내고정방식환자수술절구장도、수술시간、술중출혈량、골절유합시간、술후병발증적차이。결과：시험조절구장도、골절유합시간분별여대조조비교，차이유통계학의의(P<0.05)，수술시간、술중출혈량、술후병발증여대조조비교차이무통계학의의(P>0.05)。결론：미창폐합복위대쇄수내정내고정치료경골간골절구수술절구소、유합시간쾌、술후병발증소、술중창상소、술후공능회복쾌적우점，림상료효호，치득림상추엄。
Objective:To study the clinical efficacy of minimally invasive closed reduction and interlocking intramedullary nail in the treatment of tibial shaft fractures.Method:42 cases with closed fractures of tibial shaft in our hospital from July 2011 to July 2013 were randomly divided into experimental and control groups.21 fractures in the experimental group were treated with minimally invasive closed reduction and interlocking intramedullary nailing,21 fractures in the control group were treated with open reduction and plate fixation.The incision length,operation time,blood loss,healing time difference,postoperative complications for two internal fixation surgery patients were compared.Result:The incision length,healing time in the experimental group compared with those in the control group,the differences were statistically significant(P<0.05),the operative time,blood loss,postoperative complications in the experimental group compared with those in the control group,there were no difference(P>0.05).Conclusion:Minimally invasive closed reduction and interlocking intramedullary nail fixation of tibial shaft fractures with small surgical incisions,faster healing time,fewer complications,small trauma surgery,postoperative functional advantages of quick recovery,good clinical efficacy,it is worthy of promotion.
