新型孟氏骨折固定器微创治疗胫腓骨骨折的临床疗效及患者的疼痛感受

The clinical effect of minimally invasive treatment of tibiofibular fractures with a new type of meng′s fracture fixation device and the impact of patients experience pain

目的探讨新型孟氏骨折固定器微创治疗胫腓骨骨折的临床疗效及对患者疼痛感受的影响。方法选取126例胫腓骨骨折住院患者,采用随机数字表法分为两组。(1)研究组63例,应用新型孟氏骨折固定器微创治疗,男性33例,女性30例;年龄范围18~70岁,年龄(45.1±1.5)岁。(2)对照组63例,应用切开复位钢板内固定术治疗,男性34例,女性29例;年龄范围18~70岁,年龄(44.8±1.3)岁。对比两组胫腓骨骨折患者的临床疗效、手术情况、恢复情况及治疗前及治疗后的视觉模拟评分(VAS)变化。结果研究组胫腓骨骨折患者的治疗有效率[96.9%(61/63)]优于对照组[90.5%(57/63)],χ^2=7.031,P<0.05;研究组患者在手术过程中的出血量、手术时长及住院天数少于对照组患者(P均<0.05);研究组患者的骨密度高于对照组患者(P<0.05);研究组患者的骨折愈合时间及负重行走时间均短于对照组患者(P<0.05);研究组患者治疗后6个月的VAS评分[(2.4±0.4)分]低于对照组[(3.7±0.7)分]患者(t=14.520,P<0.05)。结论应用新型孟氏骨折固定器治疗胫腓骨骨折对患者造成的创伤更小、患者的疼痛感也更小,有利于患者的恢复。

Objective To investigate the clinical efficacy of minimally invasive treatment of tibiofibular fractures with a new Monteggia fracture fixator and its effect on VAS scores.Methods A total of 126 patients with tibiofibular fractures were enrolled.The eligible subjects were divided into two groups by random number table.(1) In the study group,63 patients underwent minimally invasive treatment with a new Monteggia fracture fixator,including 33 males and 30 females;aged 18-70,mean age(45.1±1.5) years.(2) 63 patients in the control group were treated with open reduction and internal fixation.There were 34 males and 29 females with an average age of(44.8±1.3) years(range,18-70 years).The clinical efficacy,operation,recovery,and VAS scores before and after treatment were compared between the two groups.Results The effective rate of patients with tibiofibular fractures in the study group [96.9%(61/63)] was superior to the control group [90.5%(57/63)],χ^2=7.031,P<0.05.The patients in the study group had tibiofibular fractures during the operation.The amount of bleeding,duration of surgery and length of hospital stay were less than those of the control group with tibiofibular fractures(P<0.05).The bone mineral density of the patients with tibiofibular fractures in the study group was higher than that of the control group(P<0.05).The fracture healing time and weight-bearing walking time of the fracture patients were lower than those of the control tibia fractures(P<0.05).The VAS score of the patients in the study group(2.4±0.4) was lower than that of the control group(3.7±0.7) at 6 months after treatment(t=14.520,P<0.05).Conclusion The treatment with new Monteggia fracture fixator has less trauma to patients with tibiofibular fractures,which is more conducive to patient recovery,and is easy to operate and effective.