中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
8期
41-42
,共2页
胫骨远端骨折%锁定加压钢板%内固定%微创
脛骨遠耑骨摺%鎖定加壓鋼闆%內固定%微創
경골원단골절%쇄정가압강판%내고정%미창
Distal tibial fracture%Locking compression plate%Internal fixation%Minimal invasion
目的 观察分析采用微创经皮锁定加压钢板内固定治疗胫骨远端骨折的方法及临床疗效.方法 选取41例胫骨远端骨折患者为观察组,分析其一般资料、手术方法及临床疗效,并与对照组30例传统切开复位钢板内固定患者临床结果进行比较.结果 观察组手术时间短于对照组,术中出血量低于对照组,骨折愈合时间较对照组短.两组患者并发症几率比较差异有统计学意义,观察组术后踝关节功能优良率优于对照组.结论 采用微创经皮锁定加压钢板内固定治疗胫骨远端骨折临床疗效显著,手术创伤较小,内固定稳固,患者术后早期功能锻炼良好,远期踝关节功能恢复优良,值得临床推广应用.
目的 觀察分析採用微創經皮鎖定加壓鋼闆內固定治療脛骨遠耑骨摺的方法及臨床療效.方法 選取41例脛骨遠耑骨摺患者為觀察組,分析其一般資料、手術方法及臨床療效,併與對照組30例傳統切開複位鋼闆內固定患者臨床結果進行比較.結果 觀察組手術時間短于對照組,術中齣血量低于對照組,骨摺愈閤時間較對照組短.兩組患者併髮癥幾率比較差異有統計學意義,觀察組術後踝關節功能優良率優于對照組.結論 採用微創經皮鎖定加壓鋼闆內固定治療脛骨遠耑骨摺臨床療效顯著,手術創傷較小,內固定穩固,患者術後早期功能鍛煉良好,遠期踝關節功能恢複優良,值得臨床推廣應用.
목적 관찰분석채용미창경피쇄정가압강판내고정치료경골원단골절적방법급림상료효.방법 선취41례경골원단골절환자위관찰조,분석기일반자료、수술방법급림상료효,병여대조조30례전통절개복위강판내고정환자림상결과진행비교.결과 관찰조수술시간단우대조조,술중출혈량저우대조조,골절유합시간교대조조단.량조환자병발증궤솔비교차이유통계학의의,관찰조술후과관절공능우량솔우우대조조.결론 채용미창경피쇄정가압강판내고정치료경골원단골절림상료효현저,수술창상교소,내고정은고,환자술후조기공능단련량호,원기과관절공능회복우량,치득림상추엄응용.
Objective To observe and analyze the method and clinical effect of minimally invasive percutaneous locking compression plate internal fixation on distal tibial fracture.Methods Fortyone patients with tibial distal fracture were selected as observation group,the general information,operation method and clinical effect was analyzed,then clinical results were compared with 30 patients with traditional open reduction and plate internal fixation in the control group.Results The operating time of observation group was shorter than that of the control group,intraoperative bleeding volume was lower than that of the control group,and fracture healing time was shorter than that of the control group.There was significant difference in complications rate between the groups.The good rate of ankle joint function after surgery of observation group was superior to that of the control group.Conclusions The clinical effect of minimally invasive percutaneous locking compression plate internal fixation on distal tibial fracture is obvious,the surgical trauma is small,internal fixation is stable,postoperative early functional exercise is good,long-term ankle function restoration is good,so it is worthy of clinical application.