骨科数据库在微创胫骨内固定装置取出术中的应用

Application of orthopedics database in the removal of minimally invasive internal fixation device

目的探讨骨科数据库在微创内固定装置取出术中的应用效果。方法选取2012年3月—2015年12月在该院行胫骨骨折内固定装置取出术的病人,按有无数据库资料分为观察组和对照组,每组36例。观察组根据骨科数据库图文信息,进行钢板螺钉的体外定位,采取微创技术取出内固定装置;对照组采用传统手术方法;观察两组手术时间、出血量、切口长度、术后疼痛止痛、拆线时间等指标。结果观察组手术时间、出血量、切口长度、拆线时间分别为(29.2±10.3)min、(11.4±3.5)g、(5.04±2.43)cm、(7.46±1.13)d,与对照组比较,差异有统计学意义(P<0.05)。结论骨科数据库能便捷精确的指导内固定装置的体外定位,为微创技术的应用提供可靠的支持,可节约手术时间,减少手术创伤,有利于病人的康复。

Objective To explore the application effect of Department of orthopedics database in the removal of minimally invasive in-ternal fixation device. Methods From March 2012 to December 2015 ,th e patients with tibial fracture internal fixation devices were se-lected and divided into the observation group and the control group according to the data of 36 cases. The observation group according to the Department of orthopedics information database,in ^Propositioning plate and screw internal fixation device,take out the minimally invasive technique;the control group used the traditional surgical method;observe two groups of operation time,blood loss,length of in-cision, postoperative pain, clearing time and other indicators. Results In the observation group, operation t im e , blood lo s s , length of in- cision,suture time was （29. 2 ± 10. 3） min,（ 11.4 ± 3. 5 ） g,（ 5. 04 ± 2. 43 ） cm,（ 7. 46 ± 1. 13 ） d respectively. Compared with the control group,the difference was statistically significant （P 〈0. 05）. Conclusion The Department of orthopedics database can be used to guide the external positioning of the internal fixation device conveniently and accurately, which can provide reliable support for the application of minimally invasive technique.