交锁髓内钉与经皮锁定钢板治疗胫骨骨折的临床对照研究

Clinical Control Study of Interlocking Intramedullary Nail and Percutaneous Locking Plate in Treatment of Tibial Fractures

目的:探讨交锁髓内钉与经皮锁定钢板治疗胫骨骨折的疗效。方法:选取了100例胫骨骨折患者,按住院单双号分为两组,对照组(48例)给予交锁髓内钉,观察组(52例)给予经皮锁定钢板治疗。通过观察并记录疗效,围手术期指标及随访3个月的并发症发生情况,评价交锁髓内钉与经皮锁定钢板治疗胫骨骨折的疗效。结果:采用经皮锁定钢板内固定和交锁髓内钉治疗胫骨骨折,两种手术方法所需手术时间无统计学差异(P>0.05),经皮锁定钢板内固定术术中出血量更少,术后观察组患者住院时间和骨折愈合时间更短(P<0.05),术后3个月,观察组患者有效率明显高于对照组(P<0.05),随访3个月期间,观察组并发症5例,发生率9.6%,对照组并发症12例,发生率25.0%,观察组并发症发生率明显低于对照组(P<0.05)。结论:经皮锁定钢板对胫骨骨折具有较好的疗效,手术安全性高,并发症少,能促进骨折愈合,使患者尽早康复,值得临床推广使用。

Objective：To discuss the efficacy of interlocking intramedullary nail and percutaneous locking plate in treatment of tibial fractures.Methods：100 patients with tibial fractures were selected.They were divided into two groups according to odd and even number of hospitalization.The control group （48 cases） was given interlocking intramedullary nail.The observation group （52 cases） was given percutaneous locking plate.The efficacy of interlocking intramedullary nail and percutaneous locking plate in treatment of tibial fractures were evaluated by the efficacy,perioperative index and incidence of complications during 3 months.Results：There were no statistical significance on surgical time between two groups （P〉0.05）.The bleeding volume of observation group was less than that of the control group （P〈0.05）.The hospitalization and fracture healing time of observation group was shorter than that of the control group （P〈0.05）.After 3 months surgery,the effective rate of observation group was higher （P〈0.05）.During 3 months follow up,there were 5 cases having complications in the observation group and 12 cases having complications in the control group.The complication rate was 9.6 % in the observation group and 25.0 % in the control group,and it was lower observation group （P〈0.05）.Conclusions：The percutaneous locking plate has a good curative effect on tibial fractures with high safety and less complications,which can promote the fracture healing so that the patients can recover as soon as possible,worthy of clinical application.