中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2015年
4期
328-332
,共5页
伏治国%张曦%施耀华%董启榕
伏治國%張晞%施耀華%董啟榕
복치국%장희%시요화%동계용
肱骨骨折%骨折固定术,内%微创接骨板接骨术
肱骨骨摺%骨摺固定術,內%微創接骨闆接骨術
굉골골절%골절고정술,내%미창접골판접골술
Humeral fractures%Fracture fixation,internal%Minimally invasive plate osteosynthesis
目的 评价前方入路微创接骨板接骨术(MIPO)治疗肱骨干中段骨折的效果.方法 选择2011年11月-2014年3月采用前方入路MIPO治疗肱骨干中段骨折患者10例(MIPO组)作为研究对象,以2010年10月-2014年3月采用切开复位内固定(ORIF)治疗肱骨干中段骨折患者26例作为对照(ORIF组),两组均采用4.5 mm锁定加压钢板(LCP)固定.观察并比较两组手术时间、术中透视次数、植骨率、术中出血量、术后引流量、住院时间、骨折愈合时间和并发症.结果 MIPO组和ORIF组术中出血量、术中透视次数、住院时间分别为[(93.5 ±25.6) ml、(325.3±158.3)ml]、[(13.2±6.1)次、4.0(0 ～6.0)次]、[(11.9±1.7)d、(18.0±4.7)d] (P＜0.05);MIPO组无植骨,术后无引流量;ORIF组植骨率为54％,术后引流量为(120.4±69.6) ml(P＜0.05).MIPO组和ORIF组的手术时间、骨折愈合时间、术后并发症发生率分别为[(79.0±22.0) min、(97.5±30.8) min]、[(15.2±2.5)周、(18.2±4.8)周]、(10％、23％) (P＞0.05).结论 前方入路MIPO具有创伤小、出血少、神经损伤风险低、骨折愈合率高等优点,是治疗肱骨干中段骨折的有效方法之一.
目的 評價前方入路微創接骨闆接骨術(MIPO)治療肱骨榦中段骨摺的效果.方法 選擇2011年11月-2014年3月採用前方入路MIPO治療肱骨榦中段骨摺患者10例(MIPO組)作為研究對象,以2010年10月-2014年3月採用切開複位內固定(ORIF)治療肱骨榦中段骨摺患者26例作為對照(ORIF組),兩組均採用4.5 mm鎖定加壓鋼闆(LCP)固定.觀察併比較兩組手術時間、術中透視次數、植骨率、術中齣血量、術後引流量、住院時間、骨摺愈閤時間和併髮癥.結果 MIPO組和ORIF組術中齣血量、術中透視次數、住院時間分彆為[(93.5 ±25.6) ml、(325.3±158.3)ml]、[(13.2±6.1)次、4.0(0 ～6.0)次]、[(11.9±1.7)d、(18.0±4.7)d] (P＜0.05);MIPO組無植骨,術後無引流量;ORIF組植骨率為54％,術後引流量為(120.4±69.6) ml(P＜0.05).MIPO組和ORIF組的手術時間、骨摺愈閤時間、術後併髮癥髮生率分彆為[(79.0±22.0) min、(97.5±30.8) min]、[(15.2±2.5)週、(18.2±4.8)週]、(10％、23％) (P＞0.05).結論 前方入路MIPO具有創傷小、齣血少、神經損傷風險低、骨摺愈閤率高等優點,是治療肱骨榦中段骨摺的有效方法之一.
목적 평개전방입로미창접골판접골술(MIPO)치료굉골간중단골절적효과.방법 선택2011년11월-2014년3월채용전방입로MIPO치료굉골간중단골절환자10례(MIPO조)작위연구대상,이2010년10월-2014년3월채용절개복위내고정(ORIF)치료굉골간중단골절환자26례작위대조(ORIF조),량조균채용4.5 mm쇄정가압강판(LCP)고정.관찰병비교량조수술시간、술중투시차수、식골솔、술중출혈량、술후인류량、주원시간、골절유합시간화병발증.결과 MIPO조화ORIF조술중출혈량、술중투시차수、주원시간분별위[(93.5 ±25.6) ml、(325.3±158.3)ml]、[(13.2±6.1)차、4.0(0 ～6.0)차]、[(11.9±1.7)d、(18.0±4.7)d] (P＜0.05);MIPO조무식골,술후무인류량;ORIF조식골솔위54％,술후인류량위(120.4±69.6) ml(P＜0.05).MIPO조화ORIF조적수술시간、골절유합시간、술후병발증발생솔분별위[(79.0±22.0) min、(97.5±30.8) min]、[(15.2±2.5)주、(18.2±4.8)주]、(10％、23％) (P＞0.05).결론 전방입로MIPO구유창상소、출혈소、신경손상풍험저、골절유합솔고등우점,시치료굉골간중단골절적유효방법지일.
Objective To evaluate the effect of anterior minimally invasive plate osteosynthesis (MIPO) for treatment of middle humeral shaft fracture.Methods From November 2011 to March 2014,10 cases of middle humeral shaft fracture were treated using MIPO via the anterior approach (MIPO group).Another 26 cases treated by open reduction and internal fixation (ORIF) of the middle humeral shaft fracture between October 2010 and March 2014 were included as controls (ORIF group).Fracture fixation using the 4.5 mm locking compression plate (LCP) was performed in both groups.Parameter measurements included operative time,intraoperative fluoroscopy times,grafting rate,intraoperative blood loss,postoperative drainage,hospital stay,bone healing time and complications.Results MIPO and ORIF groups differed significantly with respect to intraoperative blood loss [(93.5 ± 25.6) ml vs (325.3 ± 158.3) ml],intraoperative fluoroscopy times [(13.2 ± 6.1) vs 4.0 (0-6.0)] and hospitalization [(11.9 ± 1.7)days vs (18.0 ±4.7)days] (P ＜0.05).Bone grafting and drainage were not performed in MIPO group,while bone grafting rate was 54％ and postoperative drainage volume was (120.4 ± 69.6) ml in ORIF group (P ＜0.05).MIPO and ORIF groups were comparable with respect to operative time [(79.0 ± 22.0) min vs (97.5 ± 30.8) min],bone healing time [(15.2 ± 2.5) weeks vs (18.2 ± 4.8)weeks] and postoperative complications (10％ vs23％) (P＞0.05).Conclusion Anterior MIPO is an effective procedure for treatment of middle humeral shaft fracture,with advantages of small trauma,less bleeding,low risk of nerve injury and high rate of fracture healing.
