经皮锁定钢板与传统解剖钢板内固定治疗胫骨下段骨折的效果对照分析

Comparative Analysis of the Effect of Percutaneous Locking Plate and Traditional Anatomical Plate Internal Fixation for the Treatment of Lower Humerus Fracture

目的探讨经皮锁定钢板与传统解剖钢板内固定治疗胫骨下段骨折的效果对照。方法方便采集2015年6月-2018年12月该院收治的60例胫骨下段骨折患者随机数字表分组。传统解剖钢板内固定治疗组进行传统解剖钢板内固定治疗,经皮锁定钢板治疗组进行经皮锁定钢板手术。分析比较两组效果;切口的平均长度、肿胀消失的时间、平均失血量、住院时间和胫骨下段骨折愈合的时间;手术前后患者关节功能评分值和生活质量评分;并发症。结果经皮锁定钢板治疗组手术效果100.00%高于传统解剖钢板内固定治疗组(χ~2=8.893,P<0.05)。手术后经皮锁定钢板治疗组关节功能评分值(94.46±4.31)分和生活质量评分(94.01±2.22)分优于传统解剖钢板内固定治疗组(t=6.824,5.023 4,P<0.05)。经皮锁定钢板治疗组切口的平均长度、肿胀消失的时间、平均失血量、胫骨下段骨折愈合的时间、住院时间优于传统解剖钢板内固定治疗组(t=5.211、6.784、5.221、6.681、5.256,P<0.05)。经皮锁定钢板治疗组并发症低于传统解剖钢板内固定治疗组(χ~2=7.034,P<0.05)。结论胫骨下段骨折患者行经皮锁定钢板手术效果确切,可减少出血量,并有效加速患者骨折愈合,改善踝关节功能以及患者的生活质量。

Objective To evaluate the effect of percutaneous locking plate and traditional anatomical plate internal fixation for the treatment of lower humerus fracture. Methods A total of 60 patients with fractures of the lower tibia were enrolled in the hospital from June 2015 to December 2018 were convenient collected. The traditional anatomical plate internal fixation treatment group was treated with traditional anatomical plate internal fixation, and the percutaneous locking plate treatment group was performed with percutaneous locking plate operation. The effects of the two groups were analyzed and compared,as well as the average length of the incision, the time of swelling disappeared, the mean blood loss, the length of hospital stay, and the time of healing of the lower tibial fracture;the joint function score and quality of life score before and after surgery;complications. Results The surgical effect of the percutaneous locking plate treatment group was 100.00% higher than that of the traditional anatomical plate internal fixation group(χ^2=8.893, P<0.05). After operation, the percutaneous locking plate treatment group had a joint function score of(94.46±4.31)points and a quality of life score of(94.01±2.22)points, which was superior to the traditional anatomical plate internal fixation group(t=6.824, 5.023 4, P<0.05). The average length of the incision in the percutaneous locking plate treatment group, the time of swelling disappearance, the mean blood loss, the time of healing of the lower tibial fracture, and the hospitalization time were better than those in the traditional anatomical plate internal fixation group(t=5.211, 6.784, 5.221, 6.681, 5.256, P<0.05). The complication of the percutaneous locking plate treatment group was lower than that of the traditional anatomical plate internal fixation group(χ^2=7.034, P<0.05). Conclusion Percutaneous locking plate surgery in patients with lower humeral fractures is effective, which can reduce the amount of bleeding, and effectively accelerate fracture healing, improve ankle function and quality of life.