医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2014年
3期
65-66
,共2页
锁定内支架微创技术%胫骨中下段复杂性骨折%临床疗效
鎖定內支架微創技術%脛骨中下段複雜性骨摺%臨床療效
쇄정내지가미창기술%경골중하단복잡성골절%림상료효
minimally invasive technique of locked internal fixation%middle-lower fracture of humerus%clinical effect
目的：讨论锁定内支架微创技术治疗胫骨中下段复杂性骨折。方法：对2011年3月至2013年7月在我院进行手术治疗的110例胫骨中下段复杂性骨折的患者，随机进行分组，分为对照组及实验组，每组均为55例患者。对于实验组的患者给予锁定内支架微创技术进行治疗，对照组的患者给予外固定架进行治疗。对两组患者的住院时间、骨折愈合时间、并发症发生情况、疗效进行比较。结果：实验组患者的骨折愈合时间及住院时间较对照组患者明显降低，具有显著性差异（P<0.05），实验组患者的优良率较对照组患者明显增加，具有显著性差异（P<0.05），实验组患者术后并发症发生率较对照组患者显著降低（P<0.05），说明其具有统计学意义。结论：运用锁定内支架微创技术治疗胫骨中下段复杂性骨折可以提高疗效，降低不良反应发生率，明显缩短愈合时间及治疗时间，减轻患者痛苦。锁定内支架微创技术对治疗胫骨中下段复杂性骨折有着十分重要的意义，临床值得推广。
目的：討論鎖定內支架微創技術治療脛骨中下段複雜性骨摺。方法：對2011年3月至2013年7月在我院進行手術治療的110例脛骨中下段複雜性骨摺的患者，隨機進行分組，分為對照組及實驗組，每組均為55例患者。對于實驗組的患者給予鎖定內支架微創技術進行治療，對照組的患者給予外固定架進行治療。對兩組患者的住院時間、骨摺愈閤時間、併髮癥髮生情況、療效進行比較。結果：實驗組患者的骨摺愈閤時間及住院時間較對照組患者明顯降低，具有顯著性差異（P<0.05），實驗組患者的優良率較對照組患者明顯增加，具有顯著性差異（P<0.05），實驗組患者術後併髮癥髮生率較對照組患者顯著降低（P<0.05），說明其具有統計學意義。結論：運用鎖定內支架微創技術治療脛骨中下段複雜性骨摺可以提高療效，降低不良反應髮生率，明顯縮短愈閤時間及治療時間，減輕患者痛苦。鎖定內支架微創技術對治療脛骨中下段複雜性骨摺有著十分重要的意義，臨床值得推廣。
목적：토론쇄정내지가미창기술치료경골중하단복잡성골절。방법：대2011년3월지2013년7월재아원진행수술치료적110례경골중하단복잡성골절적환자，수궤진행분조，분위대조조급실험조，매조균위55례환자。대우실험조적환자급여쇄정내지가미창기술진행치료，대조조적환자급여외고정가진행치료。대량조환자적주원시간、골절유합시간、병발증발생정황、료효진행비교。결과：실험조환자적골절유합시간급주원시간교대조조환자명현강저，구유현저성차이（P<0.05），실험조환자적우량솔교대조조환자명현증가，구유현저성차이（P<0.05），실험조환자술후병발증발생솔교대조조환자현저강저（P<0.05），설명기구유통계학의의。결론：운용쇄정내지가미창기술치료경골중하단복잡성골절가이제고료효，강저불량반응발생솔，명현축단유합시간급치료시간，감경환자통고。쇄정내지가미창기술대치료경골중하단복잡성골절유착십분중요적의의，림상치득추엄。
Objective To explore minimal y invasive technique of locked internal fixation in treatment of middle-lower fracture of humerus. Methods 110 cases with middle-lower fracture of humerus in our hospital from March 2011 to July 2013 were selected. Patients were randomly divided into control group and experimental group, 55 cases in each group. Experimental group received minimal y invasive technique of locked internal fixation. Control group received external fixator. Hospital days, healing time of fracture, occurrence of complications and curative effect for two groups were compared. Results Healing time of fracture and hospital days in experimental group were obviously lower than control group. There were significant differences(P<0.05).Excellent rate in experimental group was obviously increased . There were significant differences(P<0.05). Incidence rate of complications after operation in experimental group was obviously reduced. It has significance in statistics (P<0.05). Conclusion Minimal y invasive technique of locked internal fixation can improve therapeutic efficacy and reduce incidence of adverse reactions. Healing time and treatment time are reduced obviously. It also al eviates patient's pain. Minimal y invasive technique of locked internal fixation in treatment of middle-lower fracture of humerus has important significant. It is worth popularizing application in clinic.
