摘要
目的:探讨微创经皮钢板固定术与交锁髓内钉治疗胫骨远端关节外骨折的临床效果。方法:2016年8月-2019年8月收治胫骨远端关节外骨折患者38例,应用抽签分组法分为两组各19例。对照组给予交锁髓内钉治疗,观察组给予微创经皮钢板固定术治疗。对比两组术后临床相关指标情况及并发症发生率。结果:观察组手术时间和骨折部位愈合时间均短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05)。观察组术后并发症总发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:与交锁髓内钉相比,微创经皮钢板固定术治疗胫骨远端关节外骨折的临床疗效更为理想,可有效降低术后并发症发生率,值得推广应用。
Objective:To explore the curative effect difference of minimally invasive percutaneous plate fixation and interlocking intramedullary nail in the treatment of extraarticular fracture of distal tibia.Methods:From August 2016 to August 2019,38 patients with extraarticular fracture of distal tibia were selected,and they were divided into two groups with 19 cases in each group.The control group was treated with interlocking intramedullary nail,the observation group was treated with minimally invasive percutaneous plate fixation,we compared the postoperative clinical indicators and the incidence of complications between the two groups.Results:In the observation group,the length of operation and the healing time of fracture site were shorter than those in the control group,and the amount of bleeding during operation was less than that in the control group,the difference was statistically significant(P<0.05).In the observation group,the total incidence of postoperative complications was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Compared with interlocking intramedullary nail,the curative effect of minimally invasive percutaneous plate fixation in the treatment of extraarticular fracture of distal tibia was better,it can effectively reduce the incidence of postoperative complications,and was worth popularizing.
作者
王带兵
Wang Daibin(Sanjing People's Hospital of Xinbei District of Changzhou City,Jiangsu,Changzhou 213022)
出处
《中国社区医师》
2019年第34期58-59,共2页
Chinese Community Doctors
关键词
微创经皮钢板固定术
交锁髓内钉
胫骨远端关节外骨折
Minimally invasive percutaneous plate fixation
Interlocking intramedullary nail
Extraarticular fracture of distal tibia
