医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2015年
16期
2138-2140
,共3页
Pilon骨折%经皮微创锁定钢板内固定术%传统手术
Pilon骨摺%經皮微創鎖定鋼闆內固定術%傳統手術
Pilon골절%경피미창쇄정강판내고정술%전통수술
Pilon fracture%Minimally invasive percutaneous locking plate fixation%Traditional surgery
目的:探讨经皮微创锁定钢板内固定治疗Pilon骨折的临床疗效.方法:选取我院2013年3月 -2014年3月收治的84例Pilon骨折患者作为研究对象 ,使用随机数字表法分为研究组和对照组(各42例) ,对照组患者行开放性手术治疗 ,研究组患者行经皮微创锁定钢板内固定术治疗 ,比较两组患者的治疗优良率、骨折愈合时间、住院时间、并发症发生率等.结果:研究组患者的手术时间、骨折愈合时间、术后住院时间均显著短于对照组 ,术中出血量、治疗费用显著低于对照组( P<0 .05 );研究组患者的治疗优良率为95 .24% ,对照组为83 .33% ,组间比较 ,差异具有统计学意义( P<0 .05 );研究组的术后并发症发生率为4 .76% ,显著低于对照组的16 .67% ( P<0 .05 ).结论:比起传统手术 ,经皮微创锁定钢板内固定术治疗Pilon骨折的临床疗效更好 ,骨折愈合时间更短 ,并发症发生率更低 ,术后恢复更快 ,临床应用优势显著 ,值得推广应用.
目的:探討經皮微創鎖定鋼闆內固定治療Pilon骨摺的臨床療效.方法:選取我院2013年3月 -2014年3月收治的84例Pilon骨摺患者作為研究對象 ,使用隨機數字錶法分為研究組和對照組(各42例) ,對照組患者行開放性手術治療 ,研究組患者行經皮微創鎖定鋼闆內固定術治療 ,比較兩組患者的治療優良率、骨摺愈閤時間、住院時間、併髮癥髮生率等.結果:研究組患者的手術時間、骨摺愈閤時間、術後住院時間均顯著短于對照組 ,術中齣血量、治療費用顯著低于對照組( P<0 .05 );研究組患者的治療優良率為95 .24% ,對照組為83 .33% ,組間比較 ,差異具有統計學意義( P<0 .05 );研究組的術後併髮癥髮生率為4 .76% ,顯著低于對照組的16 .67% ( P<0 .05 ).結論:比起傳統手術 ,經皮微創鎖定鋼闆內固定術治療Pilon骨摺的臨床療效更好 ,骨摺愈閤時間更短 ,併髮癥髮生率更低 ,術後恢複更快 ,臨床應用優勢顯著 ,值得推廣應用.
목적:탐토경피미창쇄정강판내고정치료Pilon골절적림상료효.방법:선취아원2013년3월 -2014년3월수치적84례Pilon골절환자작위연구대상 ,사용수궤수자표법분위연구조화대조조(각42례) ,대조조환자행개방성수술치료 ,연구조환자행경피미창쇄정강판내고정술치료 ,비교량조환자적치료우량솔、골절유합시간、주원시간、병발증발생솔등.결과:연구조환자적수술시간、골절유합시간、술후주원시간균현저단우대조조 ,술중출혈량、치료비용현저저우대조조( P<0 .05 );연구조환자적치료우량솔위95 .24% ,대조조위83 .33% ,조간비교 ,차이구유통계학의의( P<0 .05 );연구조적술후병발증발생솔위4 .76% ,현저저우대조조적16 .67% ( P<0 .05 ).결론:비기전통수술 ,경피미창쇄정강판내고정술치료Pilon골절적림상료효경호 ,골절유합시간경단 ,병발증발생솔경저 ,술후회복경쾌 ,림상응용우세현저 ,치득추엄응용.
Objective:To investigate the clinical efficacy of minimally invasive percutaneous locking plate fixation in the treatment of Philon fracture .Methods:In our hospital from fracture patients as the research object in the 84 cases of Pi-lon in March 2013 to March 2014 were selected ,randomly divided into study group and control group (42 cases) ,the control group were treated with open operation treatment ,the study group were treated with minimally invasive percu-taneous locking plate fixation ,treatment two groups of patients with the excellent and good rate ,fracture healing time , hospitalization time ,complications rate etc .Results:The study group of patients with operation time ,fracture healing time ,postoperative hospitalization time was significantly shorter than the control group ,amount of bleeding during the operation ,the cost of treatment was significantly lower than the control group(P<0 .05) .Treatment of patients with study group ,the excellent and good rate was 95 .24% ,the control group was 83 .33% ,comparison between groups ,the difference was statistically significant (P<0 .05) .Conclusion:Compared with traditional surgery ,with better clinical ef-ficacy in the treatment of minimally invasive percutaneous locking plate fixation for the treatment of Pilon fracture ,frac-ture healing time ,complication rates ,faster postoperative recovery ,the clinical application of a significant advantage ,it is worthy of popularization and application .
