摘要
目的:观察微创经皮锁定加压钢板内固定治疗四肢骨折的临床疗效,并同传统切开复位内固定方法对比,探讨2种不同手术方法的治疗效果。方法:将120例符合手术特征的四肢骨折患者随机分为试验组和对照组,试验组采用微创经皮锁定加压钢板内固定方法,对照组采用传统内固定手术方法,比较2组患者的手术时间、住院时间、术后出血量、骨愈合时间和术后并发症发生率。结果:试验组手术时间91.5±9.5分钟,住院时间14.9±5.6天,术中出血量88.7±17.8ml,骨愈合时间14.5±4.5天,术后并发症发生率5.65%;对照组手术时间114.6±14.3分钟,住院时间19.6±6.1天,术中出血量271.6±54.3ml,骨愈合时间23.4±5.2天,术后并发症发生率15.06%;2组患者在各方面比较均具有统计学意义(P<0.05)。结论:微创经皮锁定加压钢板内固定治疗四肢固定的总体疗效要优于传统的切开复位内固定术,能临床应用和推广。
Objective：To observe the clinical effect of percutaneous minimally invasive locking compression plate for limb fracture .To discuss the effectiveness between the method of percutaneous minimally invasive locking compression plate with conventional open reduc -tion and internal fixation .Methods：120 patients with limb fracture were divided into treatment group and control group .Treatment group were treated by percutaneous minimally invasive locking compression plate .Control group were treated by conventional open reduction and internal fixation.The operation time, LOS, blood loss, bone healing time and complication in two groups were compared .Results：In treatment group, the operation time was （91.5 ±9.5）min, LOS was （14.9 ±5.6）d, blood loss was （88.7 ±17.8）ml, bone healing time was （14.5 ±4.5）d, the rate of complication was 5.65%.The data in control group were （114.6 ±14.3）min, （19.6 ±6.1）d, （271.6 ±54.3）ml , （23.4 ±5.2）d and 15.06%respectively.All the differences were statistically significant .Conclusions：The effec-tiveness of percutaneous minimally invasive locking compression plate for limb fracture is better than conventional open reduction and inter -nal fixation .It is worthy of clinical application and promotion .
出处
《中国伤残医学》
2014年第9期14-15,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
微创经皮锁定加压钢板内固定
切开复位内固定
四肢骨折
Percutaneous minimally invasive locking compression plate
Conventional open reduction and internal fixation
Limb fracture
