摘要
目的探究微创经皮锁定加压钢板内固定治疗四肢骨折的效果。方法选取2018年5月-2019年5月本院骨科收治的四肢骨折患者60例,按投掷硬币法将其分为两组各30例,对照组采取传统切开复位内固定术治疗,观察组采取微创经皮锁定加压钢板内固定治疗,对比两组患者手术指标及VAS评分。结果观察组术中出血量少于对照组(t=11.078),手术时间、骨折愈合时间以及住院时间均短于对照组(t=6.402、5.835、11.222),P <0.05;观察组VAS评分低于对照组(t=19.533),P <0.05。结论微创经皮锁定加压钢板内固定治疗四肢骨折的效果显著,可减少术中出血量,缩短手术时间、住院时间,促进骨折愈合,提高手术效率,减轻患者疼痛,在临床上有较高的应用价值。
Objective To explore the effect of minimally invasive percutaneous locking compression plate internal fixation in the treatment of limb fractures. Methods 60 patients with limb fractures admitted to the orthopaedics department of our hospital from May 2018 to May 2019 were selected and divided into two groups according to the coin tossing method. The control group was treated with traditional open reduction and internal fixation, while the observation group was treated with minimally invasive percutaneous locking compression plate internal fixation. The operative indexes and VAS scores of the two groups were compared. Results The amount of bleeding during operation in the observation group was less than that in the control group(t = 11.078), the operation time, fracture healing time and hospitalization time were shorter than those in the control group(t = 6.402, 5.835, 11.222), P < 0.05;the VAS score in the observation group was lower than that in the control group(t = 19.533), P < 0.05. Conclusion Minimally invasive percutaneous locking compression plate internal fixation is effective in the treatment of limb fractures. It can reduce intraoperative bleeding, shorten operation time and hospitalization time, promote fracture healing, improve operation efficiency and relieve pain. It has high clinical application value.
作者
冯飞
骆玲丽
FENG Fei;LUO Lingli(Department of Orthopedics,Huanggang Central Hospital,Huanggang Hubei 438000,China;Department of General Surgery,Huanggang Central Hospital,Huanggang Hubei 438000,China)
出处
《中国继续医学教育》
2020年第11期132-134,共3页
China Continuing Medical Education
关键词
微创
经皮锁定加压钢板内固定
传统切开复位内固定术
四肢骨折
VAS评分
应用效果
minimally invasive
percutaneous locking compression plate internal fixation
traditional open reduction and internal fixation
limb fracture
VAS score
application effect
