中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
4期
48-50
,共3页
微创解剖钢板内固定%胫骨远端骨折%疗效
微創解剖鋼闆內固定%脛骨遠耑骨摺%療效
미창해부강판내고정%경골원단골절%료효
Minimally invasive anatomic plate internal fixation%Distal tibial fracture%Curative effect
目的 探讨微创解剖钢板内固定与传统手术治疗胫骨远端骨折的临床效果.方法 选取2012年10月至2013年11月治疗的46例胫骨远端骨折患者,将其随机分为观察组和对照组,每组23例,对照组采用传统切开复位内固定术治疗,观察组采用微创解剖钢板内固定术治疗,两组均随访0.5 ～2年,分析对比两组患者的临床治疗效果.结果 对照组优良率为69.6％,观察组为95.7％,观察组临床疗效明显优于对照组(P＜0.05),观察组手术时间、住院时间和术中出血量均明显少于对照组(P＜0.05).结论 采用微创解剖钢板内固定术治疗胫骨远端骨折疗效显著,与传统手术治疗相较创伤较小、出血量少且手术时间和住院时间均较短,值得广泛推广应用.
目的 探討微創解剖鋼闆內固定與傳統手術治療脛骨遠耑骨摺的臨床效果.方法 選取2012年10月至2013年11月治療的46例脛骨遠耑骨摺患者,將其隨機分為觀察組和對照組,每組23例,對照組採用傳統切開複位內固定術治療,觀察組採用微創解剖鋼闆內固定術治療,兩組均隨訪0.5 ～2年,分析對比兩組患者的臨床治療效果.結果 對照組優良率為69.6％,觀察組為95.7％,觀察組臨床療效明顯優于對照組(P＜0.05),觀察組手術時間、住院時間和術中齣血量均明顯少于對照組(P＜0.05).結論 採用微創解剖鋼闆內固定術治療脛骨遠耑骨摺療效顯著,與傳統手術治療相較創傷較小、齣血量少且手術時間和住院時間均較短,值得廣汎推廣應用.
목적 탐토미창해부강판내고정여전통수술치료경골원단골절적림상효과.방법 선취2012년10월지2013년11월치료적46례경골원단골절환자,장기수궤분위관찰조화대조조,매조23례,대조조채용전통절개복위내고정술치료,관찰조채용미창해부강판내고정술치료,량조균수방0.5 ～2년,분석대비량조환자적림상치료효과.결과 대조조우량솔위69.6％,관찰조위95.7％,관찰조림상료효명현우우대조조(P＜0.05),관찰조수술시간、주원시간화술중출혈량균명현소우대조조(P＜0.05).결론 채용미창해부강판내고정술치료경골원단골절료효현저,여전통수술치료상교창상교소、출혈량소차수술시간화주원시간균교단,치득엄범추엄응용.
Objective To investigate the clinical effects of minimally invasive anatomic plate internal fixation and traditional operation in the treatment of distal tibial fractures.Methods Forty-six patients with distal tibial fractures during October 2012 and November 2013 were selected.They were randomly divided into observation group and control group,with 23 cases in each group.The control group were treated with traditional open reduction and internal fixation.The observation group were treated by minimally invasive anatomic plate internal fixation.Both groups were followed up for 0.5-2 years.The clinical therapeutic effects of the two groups were analyzed and compared.Results The excellent and good rate was 69.6％ in the control group,and was 95.7％ in the observation group.The clinical curative effect of observation group patients was significantly better than that in the control group (P ＜ 0.05).The operation time,hospitalization time and intraoperative bleeding of observation group were significantly less than that in the control group (P ＜ 0.05).Conclusions Minimally invasive anatomic plate fixation in treatment of distal tibial fracture has good efficacy.Compared to traditional operation,it with less trauma,less bleeding and operation time and shorter hospitalization time.It is worthy of widely used in clinic.
