中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
27期
55-56
,共2页
骨折固定术%胫骨骨折%临床疗效
骨摺固定術%脛骨骨摺%臨床療效
골절고정술%경골골절%림상료효
Fracture fixation%Tibial fractures%Clinical efficacy
目的 探讨不同内固定方法治疗胫骨骨折的临床效果. 方法 研究对象整群选取于该院2013年6月-2014年9月接诊的62例胫骨骨折患者,将其随机均分为对照组与观察组,各31例. 对照组采用加压钢板内固定术治疗;观察组采用交锁髓内钉固定术治疗. 统计两组患者手术时长、骨折愈合时间、下床负重时间、术后并发症发生率等指标,随访1年调查两组骨折愈合优良率. 结果 观察组患者下床负重时间(45.9±11.1)d优于对照组(115.4±13.3)d,对比差异有统计学意义(P<0.05);两组患者骨折愈合时间、手术时长、术后并发症发生率、骨折愈合优良率对差异无统计学意义(P>0.05). 结论 加压钢板内固定和交锁髓内钉固定治疗胫骨骨折各有优势,临床应结合患者适应证,正确选择固定方法,以获得理想疗效.
目的 探討不同內固定方法治療脛骨骨摺的臨床效果. 方法 研究對象整群選取于該院2013年6月-2014年9月接診的62例脛骨骨摺患者,將其隨機均分為對照組與觀察組,各31例. 對照組採用加壓鋼闆內固定術治療;觀察組採用交鎖髓內釘固定術治療. 統計兩組患者手術時長、骨摺愈閤時間、下床負重時間、術後併髮癥髮生率等指標,隨訪1年調查兩組骨摺愈閤優良率. 結果 觀察組患者下床負重時間(45.9±11.1)d優于對照組(115.4±13.3)d,對比差異有統計學意義(P<0.05);兩組患者骨摺愈閤時間、手術時長、術後併髮癥髮生率、骨摺愈閤優良率對差異無統計學意義(P>0.05). 結論 加壓鋼闆內固定和交鎖髓內釘固定治療脛骨骨摺各有優勢,臨床應結閤患者適應證,正確選擇固定方法,以穫得理想療效.
목적 탐토불동내고정방법치료경골골절적림상효과. 방법 연구대상정군선취우해원2013년6월-2014년9월접진적62례경골골절환자,장기수궤균분위대조조여관찰조,각31례. 대조조채용가압강판내고정술치료;관찰조채용교쇄수내정고정술치료. 통계량조환자수술시장、골절유합시간、하상부중시간、술후병발증발생솔등지표,수방1년조사량조골절유합우량솔. 결과 관찰조환자하상부중시간(45.9±11.1)d우우대조조(115.4±13.3)d,대비차이유통계학의의(P<0.05);량조환자골절유합시간、수술시장、술후병발증발생솔、골절유합우량솔대차이무통계학의의(P>0.05). 결론 가압강판내고정화교쇄수내정고정치료경골골절각유우세,림상응결합환자괄응증,정학선택고정방법,이획득이상료효.
Objective To explore the clinical effects of different internal fixation methods for treating tibial fractures. Methods 62 cases of patients with tibial fractures admitted into the hospital from June 2013 to September 2014 were taken as the research ob-ject and were randomly divided into the control group and the observation group with 31 cases in each. The control group was treated with compression plate internal fixation while the observation group was treated with interlocking intramedullary nailing fixation. The time for operation, fracture healing and out of bed load, the occurrence rate of complications and other indicators of the two groups were statistically analyzed. With a year of follow-up, the good and excellent rate of fracture healing was investigat-ed. Results In the observation group, the time to out of bed load was(45.9±11.1) d which was better than(11.54±13.3) d in the control group and the difference was statistically significant(P<0.05); the differences in time of fracture healing and operation, the occurrence rates of postoperative complications, the good and excellent rates of fracture healing in the two groups were not signifi-cant(P>0.05). Conclusion Compression plate internal fixation and interlocking intramedullary nailing fixation for treating tibial fractures have their own advantages. In clinic, the fixation method should be correctly chosen according to patients ' indications to obtain the ideal effect.
