北方药学
北方藥學
북방약학
JOURNAL OF NORTH PHARMACY
2013年
12期
103-104
,共2页
梁春平%孙青春%蒋红专%钱霄
樑春平%孫青春%蔣紅專%錢霄
량춘평%손청춘%장홍전%전소
胫骨平台骨折%内外联合切口%正中切口
脛骨平檯骨摺%內外聯閤切口%正中切口
경골평태골절%내외연합절구%정중절구
Tibial plateau fractures%Inside and outside the incision%Median incision
目的：探讨评价两种手术切口入路治疗复杂胫骨平台骨折的方法及疗效。方法：总结26例复杂胫骨平台骨折患者膝正中切口与内外联合切口的治疗差异，选取2005年1月～2011年11月26例复杂胫骨平台骨折手术患者，按Schatzker分型，其中V型17例，VI型9例，其中男18例，女8例；平均年龄47岁（36～65岁）；左侧7例，右侧19例。致伤原因：交通伤18例，坠落伤3例，跌伤5例；均为闭合性骨折。经膝正中切口17例，经内外联合切口9例，分析2种手术径路治疗结果、关节功能及切口的愈合。结果：两种手术径路手术相比，术后并发症发生率，术后下肢功能恢复及术后平均恢复时间差异有统计学意义。结论：经内外联合切口，减少手术伤口并发症，切口愈合情况比较好，双钢板固定可靠，可以早期进行功能锻炼，让患者获得满意的治疗效果。
目的：探討評價兩種手術切口入路治療複雜脛骨平檯骨摺的方法及療效。方法：總結26例複雜脛骨平檯骨摺患者膝正中切口與內外聯閤切口的治療差異，選取2005年1月～2011年11月26例複雜脛骨平檯骨摺手術患者，按Schatzker分型，其中V型17例，VI型9例，其中男18例，女8例；平均年齡47歲（36～65歲）；左側7例，右側19例。緻傷原因：交通傷18例，墜落傷3例，跌傷5例；均為閉閤性骨摺。經膝正中切口17例，經內外聯閤切口9例，分析2種手術徑路治療結果、關節功能及切口的愈閤。結果：兩種手術徑路手術相比，術後併髮癥髮生率，術後下肢功能恢複及術後平均恢複時間差異有統計學意義。結論：經內外聯閤切口，減少手術傷口併髮癥，切口愈閤情況比較好，雙鋼闆固定可靠，可以早期進行功能鍛煉，讓患者穫得滿意的治療效果。
목적：탐토평개량충수술절구입로치료복잡경골평태골절적방법급료효。방법：총결26례복잡경골평태골절환자슬정중절구여내외연합절구적치료차이，선취2005년1월～2011년11월26례복잡경골평태골절수술환자，안Schatzker분형，기중V형17례，VI형9례，기중남18례，녀8례；평균년령47세（36～65세）；좌측7례，우측19례。치상원인：교통상18례，추락상3례，질상5례；균위폐합성골절。경슬정중절구17례，경내외연합절구9례，분석2충수술경로치료결과、관절공능급절구적유합。결과：량충수술경로수술상비，술후병발증발생솔，술후하지공능회복급술후평균회복시간차이유통계학의의。결론：경내외연합절구，감소수술상구병발증，절구유합정황비교호，쌍강판고정가고，가이조기진행공능단련，양환자획득만의적치료효과。
Objective:Explore and efficacy evaluation of two surgical incision in the treatment of complex tibial plateau fractures. Methods:Summary of 26 cases of complex tibial plateau fractures in patients with knee midline incision and the incision within and outside the treatment difference. Select the the 2005 January to 2011 November, 26 cases of complex tibial plateau fractures in patients, Schatzker points where V 17 cases, Ⅵin 9 cases, including 18 males and 8 females; mean age 47 years (36~65years);seven cases of the left side, right side in 19 cases. The causes of injury:traffic injuries in 18 cases, three cases fall injury, falls five cases;were closed fractures. Midline incision and 17 cases by the knee, inside and outside the joint incision of 9 cases, the analysis of two kinds of operative approach in the treatment of results, joint function and incision healing. Result:Two surgical approaches compared to surgery, the incidence of postoperative complications, postoperative lower extremity functional recovery and postoperative average of recovery time difference was statistically significant. Conclusion:Inside and outside the incision, to reduce surgical wound complications, wound healing, with two plates is fixed and reliable, early functional exercises, to enable patients to obtain a satisfactory therapeutic effect.
