延边医学
延邊醫學
연변의학
YAN BIAN YI XUE
2015年
11期
43-44
,共2页
胫骨平台骨折%切开复位%内固定%并发症
脛骨平檯骨摺%切開複位%內固定%併髮癥
경골평태골절%절개복위%내고정%병발증
tibial plateau fracture%open reduction%internal fixation%complication
目的：对采用切开复位内固定治疗术的胫骨平台骨折患者及其临床治疗效果进行分析。方法：以2013年3月到2014年7月之间我院收治的72例胫骨平台骨折患者为研究对象，将其随机分为观察组和对照组进行治疗，每组平均36例患者。其中观察组患者采取“切开复位内固定术”进行治疗，另外36例对照组患者采取骨外固定架进行固定治疗，比较分析观察组与对照组患者膝关节功能、疼痛等级和并发症的发生率。结果：观察组患者疼痛评分为（92.38±3.62）分、患者能够主动活动膝关节的能力评分为（91.45±4.12）分、患者膝关节活动范围评分为（90.24±5.78）分、患者膝关节稳定性评分为（91.89±4.45）分、患者自我能力评价评分为（93.23±2.39）分。各项评分均高于对照组，具有统计学意义（P<0.05）；观察组膝关节发生远期并发症的概率为11.1%，对照组为19.4%，对比两组数值，无统明显计学意义（P>0.05）。结论：切开复位内固定治疗术对于胫骨平台骨折治疗的临床效果显著，并发症反胜率较低，具有临床推广意义。
目的：對採用切開複位內固定治療術的脛骨平檯骨摺患者及其臨床治療效果進行分析。方法：以2013年3月到2014年7月之間我院收治的72例脛骨平檯骨摺患者為研究對象，將其隨機分為觀察組和對照組進行治療，每組平均36例患者。其中觀察組患者採取“切開複位內固定術”進行治療，另外36例對照組患者採取骨外固定架進行固定治療，比較分析觀察組與對照組患者膝關節功能、疼痛等級和併髮癥的髮生率。結果：觀察組患者疼痛評分為（92.38±3.62）分、患者能夠主動活動膝關節的能力評分為（91.45±4.12）分、患者膝關節活動範圍評分為（90.24±5.78）分、患者膝關節穩定性評分為（91.89±4.45）分、患者自我能力評價評分為（93.23±2.39）分。各項評分均高于對照組，具有統計學意義（P<0.05）；觀察組膝關節髮生遠期併髮癥的概率為11.1%，對照組為19.4%，對比兩組數值，無統明顯計學意義（P>0.05）。結論：切開複位內固定治療術對于脛骨平檯骨摺治療的臨床效果顯著，併髮癥反勝率較低，具有臨床推廣意義。
목적：대채용절개복위내고정치료술적경골평태골절환자급기림상치료효과진행분석。방법：이2013년3월도2014년7월지간아원수치적72례경골평태골절환자위연구대상，장기수궤분위관찰조화대조조진행치료，매조평균36례환자。기중관찰조환자채취“절개복위내고정술”진행치료，령외36례대조조환자채취골외고정가진행고정치료，비교분석관찰조여대조조환자슬관절공능、동통등급화병발증적발생솔。결과：관찰조환자동통평분위（92.38±3.62）분、환자능구주동활동슬관절적능력평분위（91.45±4.12）분、환자슬관절활동범위평분위（90.24±5.78）분、환자슬관절은정성평분위（91.89±4.45）분、환자자아능력평개평분위（93.23±2.39）분。각항평분균고우대조조，구유통계학의의（P<0.05）；관찰조슬관절발생원기병발증적개솔위11.1%，대조조위19.4%，대비량조수치，무통명현계학의의（P>0.05）。결론：절개복위내고정치료술대우경골평태골절치료적림상효과현저，병발증반성솔교저，구유림상추엄의의。
Objective:to analyze the clinical effect of tibial plateau fractures with open reduction and internal fixation for the treatment of the patients with. Methods:between March to 2014 in July to 2013, 72 cases of tibial plateaufracture patients admitted to our hospital as the research object, it in a randomform to carry on the treatment as the observation group and the control group,each with an average of 36 patients. Among the 36 cases of patients in the observation group adopted"open reduction and internal fixation in the treatment of other", 36 cases of control group patients take the fixation for the treatment ofbone external fixing frame, the observation group compared with the controlgroup of patients with the incidence rate of knee joint function, the level of painand complications.results:the results of the study show that, the observation group patients pain score (92.38 ± 3.62), the patient can ability active knee score(91.45 ± 4. 12), patients with knee joint range of motion score (90.24 ± 5.78),patients with knee joint stability score (91.89 ± 4.45) evaluation points, patient self ability score (93.3 ± 2.9) points. The scores were higher than those in the control group, with statistical significance (P<0.05);observation group of knee joint probability of occurrence of complications was 8.72%, 16.61%in the control group, two groups of numerical comparison, no unification was statistically significant (P>0.05). Conclusion:open reduction and internal fixation treatmentfor tibial plateau fracture clinical curative ef ect is remarkable, complications ofanti winning percentage is low, has the significance of clinical promotion.
