摘要
目的:分析微创经皮钢板固定(MIPPO)与传统的切开复位内固定术(ORIF)在治疗胫骨中下段骨折中的疗效差异。方法:选择2012年11月至2013年11月间接受手术治疗的128例胫骨中下段骨折患者资料,随机分为接受MIPPO治疗的观察组及接受ORIF治疗的对照组,每组64例。观察两组患者的手术相关指标、AKSS膝关节功能评分及不良愈合事件发生率等情况差异。结果:接受手术治疗后,观察组的手术时间及总住院时间均明显短于对照组,差异有统计学意义(t=2.749,t=4.291;P<0.05);术中出血量观察组明显少于对照组,差异有统计学意义(t=5.239,P<0.05)。手术治疗后观察组术后6个月、9个月及12个月的AKSS膝关节功能评分均明显高于对照组,差异有统计学意义(t=2.173,t=2.748,t=2.537;P<0.05)。手术治疗后观察组患者的延迟愈合、畸形愈合及二次骨折等不良愈合事件发生率均明显低于对照组。结论:MIPPO可以有效优化手术过程,提高术后关节功能,减少不良愈合事件发生,是胫骨中下段骨折的理想手术方式。
Objective： To analyze the effect between minimally invasive percutaneous plate fixation and open reduction internal fixation on patients with Tibial shaft fracture. Methods：Chosen patients with tibial shaft fracture as research subjects, randomly divided observed groups receiving minimally invasive percutaneous plate fixation and control group receiving open reduction internal fixation, detecing surgery-related indicators, AKSS knee score and adverse conditions incidence. Results：1）After surgery, surgery time and total hospital stay of observation group patients were significantly shorter than control group patients, blood loss was significantly less than control group patients （P〈0.05）;2）After surgery, patients AKSS knee function scores were significantly higher than control group patients（P〈0.05）;3）After surgery, observation group patients’ adverse events incidence was significantly lower than control group patients （P〈0.05）. Conclusion：Minimally invasive percutaneous plate osteosynthesis can effectively optimize the surgical procedure to improve postoperative joint function and reduce adverse events healing is ideal tibia fracture mode of operation.
出处
《中国医学装备》
2014年第12期133-136,共4页
China Medical Equipment
关键词
胫骨中下段骨折
微创经皮钢板内固定
切开复位内固定术
Tibial shaft fracture
Minimally invasive percutaneous plate osteosynthesis
Open reduction internal fixation
