经皮微创与常规切开内固定术对胫骨干骨折的治疗比较

Percutaneous Minimally Invasive Plate Internal Fixation for Tibial

目的探讨经皮微创与常规切开钢板内固定术治疗胫骨干骨折的临床疗效比较。方法随机将2016年1-2019年5月治疗胫骨干骨折的78例患者分为两组,常规组采用传统的切开复位内固定术治疗,研究组采用经皮微创钢板内固定术治疗,比较两组患者的手术治疗效果。结果研究组患者的手术时间、住院时间、骨折愈合时间、术中出血量、并发症发生率少于常规组,手术疗效优于常规组,差异存在统计学意义(P<0.05)。结论胫骨干骨折患者采用经皮微创钢板内固定术治疗,能有效缩短手术用时,减少术中出血量与术后并发症的发生,促进患者骨折部位愈合,提高患者的手术治疗效果,有利于患者早日康复。

Objective To investigate the clinical effect of percutaneous minimally invasive plate internal fixation for tibial shaft fracture. Methods 78 patients with tibial shaft fractures treated from January 2016 to May2019 were randomly divided into two groups. The conventional group was treated with traditional open reduction and internal fixation, while the study group was treated with percutaneous minimally invasive plate internal fixation. The surgical effects of the two groups were compared. Results The operation time, hospitalization time, fracture healing time, intraoperative bleeding volume and complication rate of the study group were significantly less than those of the routine group, and the operation effect was significantly better than that of the routine group, with statistical significance(P<0.05). Conclusion Percutaneous minimally invasive plate internal fixation for tibial shaft fracture can effectively shorten the operation time, reduce intraoperative bleeding and postoperative complications, promote the healing of fracture site, improve the surgical treatment effect of patients, and help patients recover early.