微创经皮钢板和交锁髓内钉固定用于胫骨下端骨折患者治疗中的临床效果观察

To Investigate the Clinical Effect of Minimally Invasive Percutaneous Plate and Interlocking Intramedullary Nail in the Treatment of Fracture of Lower End of the Tibia

目的：对比分析微创经皮钢板固定和交锁髓内钉固定用于胫骨下端骨折患者的临床治疗效果。方法选取我院骨科于2013年1月～2015年1月接诊的80例胫骨下端骨折患者进行回顾性分析。依据随机数表法，随机平分为两组，微创经皮钢板固定组（下文简称微创组），交锁髓内钉固定组（下文简称髓内钉组）。对比两组手术时间和出血量以及愈合时间，记录两组并发症情况。结果微创组的优良率为92.5%；髓内钉组的优良率为85.0%。两组患者的出血量和愈合时间对比，差异无统计学意义（P＞0.05）。两组患者最终全部愈合，微创组的骨折对线情况与髓内钉组相比更好，髓内钉组的平均手术时间相对较短。结论本研究的两种方法治疗胫骨下端骨折均具有并发症人数少、出血量少及治愈率高等特点，且这两种方法各有各的特色，在临床中应根据具体情况灵活应用。

Objective Comparative analysis of clinically therapeutic effect of minimally invasive percutaneous plate fixation and interlocking intramedullary nail fixation in the treatment of patients with lower tibial fracture. Methods From January 2013 to January 2015, 80 cases of patients with lower tibial fracture patients in our hospital were retrospectively analyzed. On the basis of the stochastic indicator method, split into two groups at random, minimally invasive percutaneous plate fixation group （hereinafter referred to as minimally invasive group）, pay the interlocking intramedullary nail fixation group （hereinafter referred to as the intramedullary nailing group）. Compared to two groups of operation time and blood loss and the healing time, record the complications of the two groups. Results Excellent rate of minimally invasive group was 92.5%;That of intramedullary nailing group was 85.0%. There were no statistically signiifcant difference between two groups of patients with blood loss and the healing time （P〉0.05）, two groups of patients with ifnal and complete healing, minimally invasive group of fractures is better than to the line, the intramedullary nailing group average operation time is relatively short. Conclusion The two methods in the study of the treatment of fracture of the lower end of the tibia with fewer complications, less bleeding and higher cure rate. And these two methods have their own characteristics, in the clinical application should be based on the speciifc circumstances.