摘要
目的探究有限切开锁定钢板内固定技术治疗胫骨Pilon骨折患者的临床治疗效果。方法选取吉安市安福县中医院2011-12/2013-12住院部78例胫骨Pilon骨折患者作为研究对象,按照治疗方法的不同将其分为实验组和对照组,实验组患者进行有限切开锁定钢板内固定技术治疗,对照组患者进行根骨骨钉牵引治疗,观察记录两组患者的治疗效果、并发症情况、手术时间、术中出血量、术后住院时间。结果两组患者均成功完成手术,虽然患者手术时间、术中出血量、术后住院时间实验组大于对照组,但治疗总有效率、术后总并发症率实验组均优于对照组,差异有统计学意义(χ2=18.49,P<0.01;χ2=15.26,P<0.01)。结论有限切开锁定钢板内固定技术治疗胫骨Pilon骨折具体显著的临床治疗效果,且术后并发症少,安全性高,值得推广使用。
Objective To explore the clinical effect of limited open reduction and locking plate fixation in treating tibial Pilon fracture. Methods During Dec.,2011 to Dec.,2013,78 cases with tibial Pilon fracture were selected in Anfu County Hospital of Chinese Traditional Medicine,and were divided into experimental group and control group. The experimental group was given limited open reduction and locking plate fixation and the control group was given root bone nail traction treatment. The curative effect,complication,operation duration,amount of bleeding in operation and post operation hospitalization duration were all observed and compared. Results The two group patients all completed the operation. Although the operation duration,amount of bleeding in operation,post operation hospitalization were all higher in experimental group( χ2= 18. 49,P < 0. 01),the total effective rate,the total complication rate after operation were all better in experimental group than in the control group( χ2= 15. 26,P < 0. 01). Conclusion The method of limited open reduction and locking plate fixation in treating tibial Pilon fracture exhibits remarkable clinical effectiveness and are with less complications and high safety,and thus worthy of generalization.
出处
《职业卫生与病伤》
2014年第6期436-438,共3页
Occupational Health and Damage
关键词
有限切开锁定钢板内固定
胫骨PILON骨折
治疗
limited open reduction and locking plate fixation
high safety
tibial Pilon fracture
treatment
