中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
10期
50-52
,共3页
复杂胫骨平台骨折%锁定钢板内固定%并发症
複雜脛骨平檯骨摺%鎖定鋼闆內固定%併髮癥
복잡경골평태골절%쇄정강판내고정%병발증
Complex tibial plateau fractures%Locking plate fixation%Complication
目的：探讨锁定钢板内固定治疗复杂胫骨平台骨折的疗效。方法选择2011年6月~2014年6月在我院治疗的胫骨平台骨折患者100例为研究对象,所有患者分为A组和B组各50例，2013年6月~2014年6月我院应用锁定钢板内固定治疗复杂胫骨平台骨折50例，设立为A组，2011年6月~2012年6月我院应用普通解剖型钢板内固定治疗复杂胫骨平台骨折50例，设立为B组，比较两组患者术后的疗效及手术各项观察指标、并发症情况。结果A组优良率达86%，B组优良率72%，两组术后优良率比较差异有统计学意义（P<0.05）。A组术中出血量明显少于B组，A组的骨折愈合时间短于B组，A组术后并发症发生率显著低于B组，差异有统计学意义（P<0.05或P<0.01）。 A组与B组的手术时间组间比较差异无统计学意义（P>0.05）。两组各有1例发生局部皮肤感染，经换药、使用敏感抗生素后治愈；B组2例术后切口渗出，延迟愈合，考虑为脂肪液化或人工骨反应所致，经换药后治愈；B组1例发生骨折延迟愈合、1例发生螺钉松动，但未影响骨折愈合。结论锁定钢板内固定治疗复杂胫骨平台骨折更具优势，可减少术中出血，降低并发症发生率，促进骨折快速愈合，显著改善患者的膝关节功能，值得临床推广应用。
目的：探討鎖定鋼闆內固定治療複雜脛骨平檯骨摺的療效。方法選擇2011年6月~2014年6月在我院治療的脛骨平檯骨摺患者100例為研究對象,所有患者分為A組和B組各50例，2013年6月~2014年6月我院應用鎖定鋼闆內固定治療複雜脛骨平檯骨摺50例，設立為A組，2011年6月~2012年6月我院應用普通解剖型鋼闆內固定治療複雜脛骨平檯骨摺50例，設立為B組，比較兩組患者術後的療效及手術各項觀察指標、併髮癥情況。結果A組優良率達86%，B組優良率72%，兩組術後優良率比較差異有統計學意義（P<0.05）。A組術中齣血量明顯少于B組，A組的骨摺愈閤時間短于B組，A組術後併髮癥髮生率顯著低于B組，差異有統計學意義（P<0.05或P<0.01）。 A組與B組的手術時間組間比較差異無統計學意義（P>0.05）。兩組各有1例髮生跼部皮膚感染，經換藥、使用敏感抗生素後治愈；B組2例術後切口滲齣，延遲愈閤，攷慮為脂肪液化或人工骨反應所緻，經換藥後治愈；B組1例髮生骨摺延遲愈閤、1例髮生螺釘鬆動，但未影響骨摺愈閤。結論鎖定鋼闆內固定治療複雜脛骨平檯骨摺更具優勢，可減少術中齣血，降低併髮癥髮生率，促進骨摺快速愈閤，顯著改善患者的膝關節功能，值得臨床推廣應用。
목적：탐토쇄정강판내고정치료복잡경골평태골절적료효。방법선택2011년6월~2014년6월재아원치료적경골평태골절환자100례위연구대상,소유환자분위A조화B조각50례，2013년6월~2014년6월아원응용쇄정강판내고정치료복잡경골평태골절50례，설립위A조，2011년6월~2012년6월아원응용보통해부형강판내고정치료복잡경골평태골절50례，설립위B조，비교량조환자술후적료효급수술각항관찰지표、병발증정황。결과A조우량솔체86%，B조우량솔72%，량조술후우량솔비교차이유통계학의의（P<0.05）。A조술중출혈량명현소우B조，A조적골절유합시간단우B조，A조술후병발증발생솔현저저우B조，차이유통계학의의（P<0.05혹P<0.01）。 A조여B조적수술시간조간비교차이무통계학의의（P>0.05）。량조각유1례발생국부피부감염，경환약、사용민감항생소후치유；B조2례술후절구삼출，연지유합，고필위지방액화혹인공골반응소치，경환약후치유；B조1례발생골절연지유합、1례발생라정송동，단미영향골절유합。결론쇄정강판내고정치료복잡경골평태골절경구우세，가감소술중출혈，강저병발증발생솔，촉진골절쾌속유합，현저개선환자적슬관절공능，치득림상추엄응용。
Objective To investigate the effect of locking plate fixation in treatment of complex tibial plateau fractures. Methods A total of 100 patients with tibial plateau fracture from June 2011 to June 2014 in our hospital as the re-search objects, all the patients were divided into group A and group B, 50 cases in each group, 50 cases were treated with locking plate fixation from June 2013 to June 2014, establishment of group A in our hospital, 50 cases were treated with normal anatomic plate internal fixation from June 2011 to June 2012 as group B, the curative effect and operation indicators, complications were observed and compared between the two groups after treatment. Results The excellent and good rate was 86% in group A, the excellent and good rate was 72% in group B, the difference was statistically significant between two groups (P<0.05). The amount of bleeding during the operation of group A was lower than that in group B, but fracture healing time of group A was shorter than group B, the incidence of postoperative complications of group A was lower than that in group B, the difference was statistically significant (P<0.05 or P<0.01). But compared the operation time between group A and group B, the difference was not significant (P>0.05). The two groups of each one case had local skin infection, after dressing and using sensitive antibiotics were cured; Two cases in group B after incision exudation, delayed healing, due to fat liquefaction or artificial bone reaction, and was cured after changed the dressing; Group B had one case of delayed healing, one case of screw loosening occurred fracture, but no impact on fracture healing. Conclusion With plate fixation in the treatment of complex tibial plateau lock, can significantly im-prove the knee joint function of patients, Less bleeding, fewer complications, fast fracture healing is worthy of promo-tion and application.
