CAJ | 학술논문

目的对改良双钢板法与微创内固定系统(LISS)治疗复杂胫骨平台骨折的疗效进行对比分析.方法 168例复杂胫骨平台骨折患者按照治疗方法不同分为改良双钢板组(89例,采用改良双钢板法治疗)和LISS组(79例,采用LISS法治疗),对两种治疗方法的优缺点及疗效进行比较分析.结果改良双钢板组患者治疗效果优良率(89.9％,80/89)略大于LISS组患者的优良率(86.1％,68/79),两组比较差异无统计学意义(P＞0.05).两组患者均未出现深部感染及严重的神经损害、静脉血栓等并发症.改良双钢板组手术时间(89.2±13.6) min,术中出血量(188.4±45.6)ml,住院时间(16.5±1.8)d,愈合时间(13.3±2.1)个月,LISS组手术时间(74.3±12.5) min,术中出血量(236.5±65.5)ml,住院时间(16.7±2.1)d,愈合时间(11.4±1.5)个月,两组比较差异无统计学意义(P＞0.05).结论对于复杂胫骨平台骨折患者的治疗,LISS与改良双钢板法的治疗效果无显著差异.
목적 대개량쌍강판법여미창내고정계통(LISS)치료복잡경골평태골절적료효진행대비분석.방법 168례복잡경골평태골절환자안조치료방법불동분위개량쌍강판조(89례,채용개량쌍강판법치료)화LISS조(79례,채용LISS법치료),대량충치료방법적우결점급료효진행비교분석.결과 개량쌍강판조환자치료효과우량솔(89.9％,80/89)략대우LISS조환자적우량솔(86.1％,68/79),량조비교차이무통계학의의(P＞0.05).량조환자균미출현심부감염급엄중적신경손해、정맥혈전등병발증.개량쌍강판조수술시간(89.2±13.6) min,술중출혈량(188.4±45.6)ml,주원시간(16.5±1.8)d,유합시간(13.3±2.1)개월,LISS조수술시간(74.3±12.5) min,술중출혈량(236.5±65.5)ml,주원시간(16.7±2.1)d,유합시간(11.4±1.5)개월,량조비교차이무통계학의의(P＞0.05).결론 대우복잡경골평태골절환자적치료,LISS여개량쌍강판법적치료효과무현저차이.
Objective To evaluate the therapeutic effect of modified dual plating and less invasive stabilization system(LISS) in the complex fractures of tibial plateau.Methods One hundred and sixty-eight patients with complex fractures of tibial plateau were divided into two groups by the therapeutic methods,89 patients were in modified dual plating group while 79 patients were in LISS group.The advantages and curative effect of two groups were retrospectively analyzed.Results The excellent and good rate in modified dual plating group was slightly higher than that in LISS group [89.9％ (80/89) vs.86.1％ (68/79)],and there was no significant difference (P ＞ 0.05).No patient occurred deep site infection,severe nerve damage,phlebothrombosis in two groups.In modified dual plating group,the operation time and bleeding volume was (89.2 ± 13.6) min and (188.4 ± 45.6) ml,the hospital stay and healing time was (16.5 ± 1.8) d and (13.3 ±2.1) months.In LISS group,the operation time and bleeding volume was (74.3 ± 12.5) min and (236.5 ±65.5) ml,the hospital stay and healing time was (16.7 ± 2.1) d and (11.4 ± 1.5) months.There was no significant difference (P ＞ 0.05).Conclusion The therapeutic effect of modified dual plating and LISS have no significant difference for complex tibial plateau fractures.