微创经皮锁定加压钢板内固定术治疗四肢骨折的临床疗效探讨

The Clinical Effect of Minimally Invasive Percutaneous Locking Compression Plate Internal Fixation in the Treatment of Limb Fractures

目的探讨四肢骨折患者采用微创经皮锁定加压钢板内固定术治疗的临床效果。方法对该院收治的四肢骨折患者展开研究,共计选取80例患者为研究对象,病例收集时间在2019年1月—2020年12月,所有患者均拟行手术治疗,按照均等单盲方将80例患者分为对照组(n=40)和观察组(n=40),两组均给予钢板内固定术进行治疗,而观察组在此基础上实施微创经皮锁定加压钢板内固定术进行治疗,对比两组患者的临床治疗效果。结果观察组手术时长、住院时长和骨折愈合时间均短于对照组,手术失血量少于对照组,差异有统计学意义(P<0.05);观察组手术前疼痛评分与对照组相比差异无统计学意义(P>0.05);观察组手术后3 d和手术后1周疼痛评分均低于对照组,差异有统计学意义(P<0.05)。观察组手术前白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、超敏C反应蛋白(hs-CRP)和肿瘤坏死因子-α(TNF-α)水平与对照组相比差异无统计学意义(P>0.05);观察组手术后IL-6、IL-8、hs-CRP和TNF-α水平均低于对照组,差异有统计学意义(P<0.05)。观察组手术前躯体功能、心理功能、社会功能和物质生活状态4个维度生活质量评分与对照组相比差异无统计学意义(P>0.05);观察组手术后生活质量4个维度评分均高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率(7.50%)低于对照组(25.00%),差异有统计学意义(χ^(2)=4.501,P<0.05)。结论四肢骨折患者采用微创经皮锁定加压钢板内固定术治疗具有创伤小,并发症少的优势,可以有效促进患者尽早康复,提高患者的生活质量,临床治疗效果显著。

Objective To study the clinical effects of minimally invasive percutaneous plate osteosynthesis in treating limb fracture.Methods A total of 80 patients with limb fractures treated in the hospital were selected as the research objects.The case collection time is from January 2019 to December 2020.All patients were planned to undergo surgical treatment.According to the equal single-blind prescription,80 patients were divided into a control group(n=40)and an observation group(n=40),both groups were treated with plate internal fixation,and the observation group was treated with minimally invasive percutaneous locking compression plate in ternal fixation on this basis,and the clinical treatment effects of the two groups were compared.Results The operation time,hospitalization time and fracture healing time of the observation group were shorter than those of the control group,and the surgical blood loss was less than that of the control group,the difference was statistically significant(P<0.05);the preoperative pain scores of the observation group were not statistically significantly different from those of the control group(P>0.05);the pain scores of the observation group were lower than those of the control group 3 d after the operation and 1 week after the operation,and the difference was statistically significant(P<0.05).The levels of interleukin-6(IL-6),interleukin-8(IL-8),hypersensitive C-reactive protein(hs-CRP)and tumor necrosis factor-α(TNF-α)in observation group were not statistically significantly different from those in control group before operation(P>0.05).The levels of IL-6,IL-8,hs-CRP and TNF-αin the observation group were lower than those in the control group after surgery,and the difference was statistically significant(P<0.05).There was no statistically significant difference between the observation group and the control group in the four dimensions of physical function,psychological function,social function and material life status before the operation(P>0.05);the scores of the four dimensions of life quality after surgery in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group(7.50%)was lower than that in the control group(25.00%),the difference was statistically significant(χ^(2)=4.501,P<0.05).Conclusion With less trauma and fewer complication,the minimally invasive percutaneous plate osteosynthesis can promote the patient′s fast recovery and improve the life quality.