经皮微创钢板在胫骨中下段骨折中的应用效果分析

Study on the effect of application of percutaneous minimally invasive plate fixation in treatment of middle and lower segmental tibial fractures

目的探讨针对胫骨中下段骨折患者采用经皮微创钢板内固定手术治疗的临床效果。方法选取2010年6月至2013年6月收治的胫骨中下段骨折患者100例,依据随机数字分组法将其分为实验组与对照组各50例。实验组均给予经皮微创钢板内固定治疗方案,对照组开展切开复位后钢板内固定治疗方案。观察两组患者的手术时间、切口长度、出血总量、术后愈合时间、住院时间以及并发症发生率。结果两组患者的手术时间比较差异无统计学意义(P>0.05);实验组患者的切口长度、出血总量、术后愈合时间、住院时间均显著优于对照组,差异有统计学意义(P<0.05)。实验组治疗优良率90.0%,高于对照组的80.0%,差异有统计学意义(P<0.05)。对照组发生骨折延迟愈合1例,伤口感染2例,发生率6.0%。实验组发生伤口感染1例,发生率2.0%。实验组并发症发生率低于对照组,但差异无统计学意义(P>0.05)。结论采用经皮微创钢板治疗胫骨中下段骨折患者,手术创伤小,术中出血少,缩短骨折愈合时间,降低发生并发症风险,值得临床推广应用。

Objective To explore the clinical efficacy of application of percutaneous minimally invasive plate internal fixation in treatment of middle and lower segmental tibia fractures. Methods One hundred patients with middle and lower segmental tibia fractures during June 2010 to June 2013 were divided into trial group and control group,each group with 50 cases. Patients in trial group were treated with percutaneous mini-mally invasive plate internal fixation,and patients in control group were given with open reduction and plate internal fixation. The operating time, incision length,total amount of bleeding,postoperative healing time,hospitalization and incidence of complications were observed. Results The difference in operating time between these two groups was not statistically significant（ P ﹥ 0. 05）. The incision length,amount of bleeding,post-operative healing time and duration of hospital stay in trial group were significantly better than those of control group,and the difference was statis-tically significant（ P ﹤ 0. 05）. The excellent rate in trial group was higher than that of control group（90. 0% vs. 80. 0% ）,and the difference was statistically significant（ P ﹤ 0. 05）. The incidence of complications in trial group was lower than that of control group,but the difference was not statistically significant（2. 0% vs. 6. 0% ,P ﹥ 0. 05）. Conclusion The application of percutaneous minimally invasive plate internal fixation in treatment of patients with middle and lower segmental tibial fractures can reduce the surgical injury with less bleeding and shorter healing time, and reduce the risk of occurrence of complications. Hence it is worthy to be widely application.