当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2013年
33期
1-2,3
,共3页
胫骨平台骨折%内固定手术%外固定治疗
脛骨平檯骨摺%內固定手術%外固定治療
경골평태골절%내고정수술%외고정치료
Tibial plateau fractures%Internal fixation surgery%External fixation treatment
目的探讨内固定手术治疗胫骨平台骨折的临床疗效及其安全性。方法选择2009年3月-2013年3月收治的100例胫骨平台骨折采取切开内固定治疗作为观察组，另选择同期100例外固定治疗作为对照组，对两组患者进行随访并比较两组的术后疗效及出现的并发症。结果经膝关节临床功能评分观察组平均(86.5±6.3)分，明显高于对照组（71.5±5.6)分，两组比较差异具有统计学意义（P<0.05）；观察组优72例，良18例，优良率90%，对照组优38例，良35例，优良率73%，两组比较差异具有统计学意义（P<0.05）；观察组术后早期并发症发生率8%，对照组术后早期并发症发生率7%，两组比较差异无统计学意义（P>0.05）。结论切开内固定手术治疗胫骨平台骨折疗效明显优于外固定治疗，但并发症发生率较高，应该根据骨折类型，选择合适的手术时机及掌握手术技巧，减少并发症的发生。
目的探討內固定手術治療脛骨平檯骨摺的臨床療效及其安全性。方法選擇2009年3月-2013年3月收治的100例脛骨平檯骨摺採取切開內固定治療作為觀察組，另選擇同期100例外固定治療作為對照組，對兩組患者進行隨訪併比較兩組的術後療效及齣現的併髮癥。結果經膝關節臨床功能評分觀察組平均(86.5±6.3)分，明顯高于對照組（71.5±5.6)分，兩組比較差異具有統計學意義（P<0.05）；觀察組優72例，良18例，優良率90%，對照組優38例，良35例，優良率73%，兩組比較差異具有統計學意義（P<0.05）；觀察組術後早期併髮癥髮生率8%，對照組術後早期併髮癥髮生率7%，兩組比較差異無統計學意義（P>0.05）。結論切開內固定手術治療脛骨平檯骨摺療效明顯優于外固定治療，但併髮癥髮生率較高，應該根據骨摺類型，選擇閤適的手術時機及掌握手術技巧，減少併髮癥的髮生。
목적탐토내고정수술치료경골평태골절적림상료효급기안전성。방법선택2009년3월-2013년3월수치적100례경골평태골절채취절개내고정치료작위관찰조，령선택동기100예외고정치료작위대조조，대량조환자진행수방병비교량조적술후료효급출현적병발증。결과경슬관절림상공능평분관찰조평균(86.5±6.3)분，명현고우대조조（71.5±5.6)분，량조비교차이구유통계학의의（P<0.05）；관찰조우72례，량18례，우량솔90%，대조조우38례，량35례，우량솔73%，량조비교차이구유통계학의의（P<0.05）；관찰조술후조기병발증발생솔8%，대조조술후조기병발증발생솔7%，량조비교차이무통계학의의（P>0.05）。결론절개내고정수술치료경골평태골절료효명현우우외고정치료，단병발증발생솔교고，응해근거골절류형，선택합괄적수술시궤급장악수술기교，감소병발증적발생。
Objective To investigate the clinical efficacy and safety of internal fixation of surgical treatment of tibial plateau fractures.Methods 100 cases of tibial plateau fractures were chosen in March 2009 to March 2013 in the department treated with incision fixation were as observation group,the other choice during the same period 100 fixation treatment as control group,the two groups of patients were followed up and compared curative effect and postoperative complications.Results The knee function score of clinical observation group was (86.5 ± 6.3) min,which was significantly higher (71.5 ± 5.6) points,the difference was statistically significant (P<0.05);excellent in observation group were 72 cases,good in 18 cases,good rate was 90%;excellent in the control group were in 38 cases,good in 35 cases,good rate was 73%,the difference was statistically significant (P<0.05);observation group early postoperative complication rate was 8%,in the control group Early postoperative complication rate was 7%,the difference was not statistically significant (P>0.05).Conclusion Incision fixation surgery treatment curative effect is superior to external fixation of fracture of tibial plateau,but with a greater incidence of complications,should according to fracture type,select the appropriate operation time and operation skills,reduce the occurrence of complications.
