中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
11期
22-24
,共3页
四肢%骨折%动力加压钢板%有限接触动力加压钢板
四肢%骨摺%動力加壓鋼闆%有限接觸動力加壓鋼闆
사지%골절%동력가압강판%유한접촉동력가압강판
Extremities%Fractures,bone%Dynamic compression plate%Limited contact dynamic compression plate
目的 对比动力加压钢板(DCP)与有限接触动力加压钢板(LC-DCP)内固定治疗四肢长骨干骨折的临床疗效,为临床内固定的选择提供一定依据.方法 回顾性分析采用DCP和LC-DCP内固定治疗的172例四肢长骨干骨折患者的临床资料.其中LC-DCP组101例,DCP组71例,比较两组手术时间、术中出血量、住院时间、骨折愈合时间、骨折不愈合发生率、日常活动能力和关节功能评分及临床疗效.结果 LC-DCP组手术时间、骨折愈合时间、骨折不愈合发生率均优于DCP组[(62±13) min比(88±20) min、(60.0±20.5)d比(85.0±25.5)d、1.0％(1/101)比7.0％(5/71)],差异有统计学意义(P＜0.05),而两组术中出血量与住院时间比较差异无统计学意义(P＞0.05).LC-DCP组Barthel和Harris评分分别为(72.61±8.63)分和(69.28±7.63)分,均优于DCP组的(52.58±5.53)分和(55.07±6.26)分,差异有统计学意义(P＜0.05).LC-DCP组优良率优于DCP组[99.0％(100/101)比90.1％(64/71)],差异有统计学意义(x2=15.71,P＜0.01).结论 四肢长骨干骨折采用LC-DCP治疗,能提高临床疗效,减少手术并发症,提高患者的日常关节功能,值得临床推广使用.
目的 對比動力加壓鋼闆(DCP)與有限接觸動力加壓鋼闆(LC-DCP)內固定治療四肢長骨榦骨摺的臨床療效,為臨床內固定的選擇提供一定依據.方法 迴顧性分析採用DCP和LC-DCP內固定治療的172例四肢長骨榦骨摺患者的臨床資料.其中LC-DCP組101例,DCP組71例,比較兩組手術時間、術中齣血量、住院時間、骨摺愈閤時間、骨摺不愈閤髮生率、日常活動能力和關節功能評分及臨床療效.結果 LC-DCP組手術時間、骨摺愈閤時間、骨摺不愈閤髮生率均優于DCP組[(62±13) min比(88±20) min、(60.0±20.5)d比(85.0±25.5)d、1.0％(1/101)比7.0％(5/71)],差異有統計學意義(P＜0.05),而兩組術中齣血量與住院時間比較差異無統計學意義(P＞0.05).LC-DCP組Barthel和Harris評分分彆為(72.61±8.63)分和(69.28±7.63)分,均優于DCP組的(52.58±5.53)分和(55.07±6.26)分,差異有統計學意義(P＜0.05).LC-DCP組優良率優于DCP組[99.0％(100/101)比90.1％(64/71)],差異有統計學意義(x2=15.71,P＜0.01).結論 四肢長骨榦骨摺採用LC-DCP治療,能提高臨床療效,減少手術併髮癥,提高患者的日常關節功能,值得臨床推廣使用.
목적 대비동력가압강판(DCP)여유한접촉동력가압강판(LC-DCP)내고정치료사지장골간골절적림상료효,위림상내고정적선택제공일정의거.방법 회고성분석채용DCP화LC-DCP내고정치료적172례사지장골간골절환자적림상자료.기중LC-DCP조101례,DCP조71례,비교량조수술시간、술중출혈량、주원시간、골절유합시간、골절불유합발생솔、일상활동능력화관절공능평분급림상료효.결과 LC-DCP조수술시간、골절유합시간、골절불유합발생솔균우우DCP조[(62±13) min비(88±20) min、(60.0±20.5)d비(85.0±25.5)d、1.0％(1/101)비7.0％(5/71)],차이유통계학의의(P＜0.05),이량조술중출혈량여주원시간비교차이무통계학의의(P＞0.05).LC-DCP조Barthel화Harris평분분별위(72.61±8.63)분화(69.28±7.63)분,균우우DCP조적(52.58±5.53)분화(55.07±6.26)분,차이유통계학의의(P＜0.05).LC-DCP조우량솔우우DCP조[99.0％(100/101)비90.1％(64/71)],차이유통계학의의(x2=15.71,P＜0.01).결론 사지장골간골절채용LC-DCP치료,능제고림상료효,감소수술병발증,제고환자적일상관절공능,치득림상추엄사용.
Objective To compare the clinical effect of dynamic compression plate (DCP) and limited contact dynamic compression plate (LC-DCP) fixation in the treatment of limbs long bone fracture,provide certain basis for the choice of clinical internal fixation.Methods The clinical data of 172 patients with limbs long bone fracture treated with DCP and LC-DCP fixation were retrospectively analyzed.One hundred and one cases in LC-DCP group,and 71 cases in DCP group,the operation time,intraoperative blood loss,hospitalization time,fracture healing time,incidence of nonunion,daily activity ability and joint function score and clinical curative effect in two groups were compared.Results The operation time,fracture healing time,incidence of nonunion in LC-DCP group were better than those in DCP group[(62 ± 13) min vs.(88 ±20) min,(60.0 ± 20.5) d vs.(85.0 ± 25.5) d,1.0％ (1/101) vs.7.0％ (5/71)],there were significant differences (P ＜ 0.05),but the intraoperative blood loss and hospitalization time between two groups had no significant difference (P ＞ 0.05).Barthel and Harris score in LC-DCP group were better than those in DCP group [(72.61 ± 8.63) scores vs.(52.58 ± 5.53) scores,(69.28 ± 7.63) scores vs.(55.07 ± 6.26) scores],there were significant differences (P ＜ 0.05).The excellent rate in LC-DCP group was better than that in DCP group [99.0％ (100/101) vs.90.1％ (64/71)],there was significant difference (x2 =15.71,P ＜ 0.01).Conclusion Limbs long bone fracture treat with LC-DCP,can improve clinical curative effect and reduce complications,improve the daily ability of joint function in patients and is worth using in clinic.
