中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
5期
75-76
,共2页
经内测入路%胫骨平台后侧骨折%手术疗效
經內測入路%脛骨平檯後側骨摺%手術療效
경내측입로%경골평태후측골절%수술료효
Medial approach%Tibial plateau posterior fracture%Operation curative effect
目的：观察经内侧入路方法治疗胫骨平台后侧骨折的临床效果。方法：2012年6月-2014年6月收治胫骨平台后侧骨折患者96例，通过随机数表法将患者分为A1组与A2组。A2组(48例)给予传统入路的内固定；A1组(48例)给予经内侧入路的内固定；对比两组的临床疗效、不良反应以及Lysholms评分等。结果：A1组总有效率97.92%，A2组总有效率72.92%，A1组明显高于 A2组(P＜0.05)。A1组不良反应率4.17%，A2组不良反应率20.00%，A1组明显低于A2组(P＜0.05)。结论：经内测入路方法治疗胫骨平台后侧骨折患者，临床治疗有效率显著提高，临床不良反应发生率显著降低，临床预后质量获得有效提高。
目的：觀察經內側入路方法治療脛骨平檯後側骨摺的臨床效果。方法：2012年6月-2014年6月收治脛骨平檯後側骨摺患者96例，通過隨機數錶法將患者分為A1組與A2組。A2組(48例)給予傳統入路的內固定；A1組(48例)給予經內側入路的內固定；對比兩組的臨床療效、不良反應以及Lysholms評分等。結果：A1組總有效率97.92%，A2組總有效率72.92%，A1組明顯高于 A2組(P＜0.05)。A1組不良反應率4.17%，A2組不良反應率20.00%，A1組明顯低于A2組(P＜0.05)。結論：經內測入路方法治療脛骨平檯後側骨摺患者，臨床治療有效率顯著提高，臨床不良反應髮生率顯著降低，臨床預後質量穫得有效提高。
목적：관찰경내측입로방법치료경골평태후측골절적림상효과。방법：2012년6월-2014년6월수치경골평태후측골절환자96례，통과수궤수표법장환자분위A1조여A2조。A2조(48례)급여전통입로적내고정；A1조(48례)급여경내측입로적내고정；대비량조적림상료효、불량반응이급Lysholms평분등。결과：A1조총유효솔97.92%，A2조총유효솔72.92%，A1조명현고우 A2조(P＜0.05)。A1조불량반응솔4.17%，A2조불량반응솔20.00%，A1조명현저우A2조(P＜0.05)。결론：경내측입로방법치료경골평태후측골절환자，림상치료유효솔현저제고，림상불량반응발생솔현저강저，림상예후질량획득유효제고。
Objective:To observe the clinical effect of medial approach method in the treatment of tibial plateau posterior fracture. Methods:96 patients with tibial plateau posterior fracture were selected from June 2012 to June 2014.Through the random number table method,the patients were divided into A1 group and A2 group.A2 group(48 cases) were given the traditional approach internal fixation.A1 group(48 cases) were given the medial approach internal fixation.The clinical curative effects,adverse reactions and Lysholms scores of two groups were compared.Results:The total effective rate of A1 group was 97.92%;the total effective rate of A2 group was 72.92% ;A1 group was significantly higher than A2 group(P<0.05).The probability of adverse reactions in A1 group was 4.17%;the probability of adverse reactions in A2 group was 20.00%;A1 group was significantly lower than A2 group(P<0.05).Conclusion:The medial approach method treated patients with tibial plateau posterior fracture,the clinical treatment effective rate is significantly increased.The occurrence rate of clinical adverse reaction is significantly reduced.The clinical prognosis quality obtains effectively improved.
