微创经皮锁钉钢板在四肢骨折治疗中的临床应用及对患者肢体功能的影响研究

Clinical effect of minimally invasive percutaneous locking plate in treatment of patients with limb fractures and its effect on limb function

目的:探讨微创经皮锁钉钢板在四肢骨折患者中的临床效果及对肢体功能的影响。方法:选择四肢骨折患者92例作为研究对象,按照随机数表法分成对照组(n=46)和观察组(n=46),对照组骨折患者采取常规钢板固定,观察组骨折患者采取微创经皮锁钉钢板固定,对两组患者临床疗效、手术操作时间、骨折愈合时间、住院时间、肢体功能及并发症发生情况进行对比分析。结果:观察组治疗总有效率较对照组更高,手术操作时间、骨折愈合时间以及住院时间较对照组均更短,差异均具有统计学意义(P<0.05);术后3个月,两组Fugl-Meyer评分均有所上升,观察组上升幅度更大,差异均具有统计学意义(P<0.05);观察组并发症发生率较对照组更低(2.17%与17.39%),差异具有统计学意义(P<0.05)。结论:采用微创经皮锁钉钢板治疗四肢骨折,可明显提高临床疗效,缩短手术时间、愈合时间,改善患者肢体功能,降低并发症的发生,促进患者身体恢复,优势显著。

Objective:To investigate the clinical effect of minimally invasive percutaneous locking plate in the treatment of patients with limb fractures and its effect on limb function.Methods:92 patients with limb fractures were divide into observation group(n=46) and control group(n=46) according to the random number table method.The control group was treated with conventional plate.The observation group was treated with minimally invasive percutaneous locking plate.The clinical efficacy,operation time,fracture healing time,hospitalization time,limb function and incidence of complications were compared between the two groups.Results:The total effective rate of the observation group was higher than that of the control group,the operation time,fracture healing time and hospitalization time were shorter than those of the control group,the differences were all statistically significant(P<0.05).Three months after operation,the Fugl-Meyer scores of the two groups were increased,and the increase of the observation group was more significant(P<0.05);the incidence of complications in the observation group was lower than that in the control group(2.17% vs.17.39%),and the difference was statistically significant(P<0.05).Conclusion:Using minimally invasive percutaneous locking plate to treat limb fracture can significantly improve the clinical efficacy,shorten the operation time and healing time,improve the limb function of patients,reduce the incidence of complications,promote the recovery of patients.