医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2014年
21期
69-70,71
,共3页
经皮微创接骨板内固定术%四肢骨折%方法%临床疗效
經皮微創接骨闆內固定術%四肢骨摺%方法%臨床療效
경피미창접골판내고정술%사지골절%방법%림상료효
Percutaneous minimaly invasive bone plate fixation%Limbs fracture%Methods%Clinical curative effect
目的：探讨采用经皮微创接骨板内固定术治疗四肢骨折的方法和临床效果。方法回顾性分析2012年6月～2013年6月在我院采用经皮微创接骨板内固定术治疗的59例四肢骨折患者临床资料。结果所有患者术后均获随访6～l2个月，平均11个月；X线骨痂形成出现时间平均4周；全部骨性愈合，临床愈合时间10～16周；无并发症发生。1年后对患肢功能进行评价，优43例、良11例，优良率为91.5%。结论经皮微创接骨板内固定术符合生物接骨原则，避免了切开复位及髓内钉的弊端，具有适应性广、术中创伤小、术后骨折愈合快且并发症少等优点，可作为治疗四肢骨折的首选方法，值得临床广泛应用。
目的：探討採用經皮微創接骨闆內固定術治療四肢骨摺的方法和臨床效果。方法迴顧性分析2012年6月～2013年6月在我院採用經皮微創接骨闆內固定術治療的59例四肢骨摺患者臨床資料。結果所有患者術後均穫隨訪6～l2箇月，平均11箇月；X線骨痂形成齣現時間平均4週；全部骨性愈閤，臨床愈閤時間10～16週；無併髮癥髮生。1年後對患肢功能進行評價，優43例、良11例，優良率為91.5%。結論經皮微創接骨闆內固定術符閤生物接骨原則，避免瞭切開複位及髓內釘的弊耑，具有適應性廣、術中創傷小、術後骨摺愈閤快且併髮癥少等優點，可作為治療四肢骨摺的首選方法，值得臨床廣汎應用。
목적：탐토채용경피미창접골판내고정술치료사지골절적방법화림상효과。방법회고성분석2012년6월～2013년6월재아원채용경피미창접골판내고정술치료적59례사지골절환자림상자료。결과소유환자술후균획수방6～l2개월，평균11개월；X선골가형성출현시간평균4주；전부골성유합，림상유합시간10～16주；무병발증발생。1년후대환지공능진행평개，우43례、량11례，우량솔위91.5%。결론경피미창접골판내고정술부합생물접골원칙，피면료절개복위급수내정적폐단，구유괄응성엄、술중창상소、술후골절유합쾌차병발증소등우점，가작위치료사지골절적수선방법，치득림상엄범응용。
Objective Explore the extremities fractures treated by percutaneous minimaly invasive bone plate fixation method and clinical effect.Methods Were retrospectively analyzed in June 2012 to June 2013 in our hospital by percutaneous minimaly invasive bone plate internal fixation treatment of clinical data of 59 patients with fracture of limbs. Result Al patients have been folowed up for 6 ~ l2 months postoperatively, an average of 11 months; X-ray bone calus formation occurrence time average 4 weeks; Al osseous healing, clinical healing time 10 ~ 16 weeks; No complications occurred. Evaluate the limb function 1 years later, Excelent in 43 cases, good in 11 cases, the excelent and good rate was 91.5%. Conclusion Percutaneous minimaly invasive bone plate fixation in accordance with the principle of biological osteosynthesis, avoids the disadvantages of open reduction and intramedulary nail, has wide adaptability, intraoperative smal trauma, postoperative fracture healing fast, and the advantages of less complications, can be used as the preferred method of extremities fractures treated by and is worth wide application in the clinical practice.
