摘要
目的:探究切开复位内固定(ORIF)与微创经皮钢板内固定(MIPPO)对胫骨平台骨折(FTP)患者应激反应及并发症的影响。方法:选取2018年11月-2021年11月某院收治的100例FTP患者,按随机数字表法分为对照组和观察组各50例,对照组采用ORIF治疗,观察组采用MIPPO治疗。比较两组手术指标、疼痛应激反应[神经肽Y(NPY)、前列腺素E2(PGE2)、P物质(SP)]、膝关节功能[美国特种外科医院(HSS)]及并发症发生率。结果:两组手术时间比较,差异无统计学意义(P>0.05);观察组术中出血量、切口长度低于对照组,住院时间短于对照组(P<0.05)。术后7d,两组NPY、SP、PGE2高于术前,观察组低于对照组(P<0.05)。术后3个月,两组HSS评分高于术前,观察组高于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。结论:ORIF与MIPPO均可治疗FTP患者,但MIPPO创伤小、术中出血量较少,患者疼痛应激反应较轻,能促进患者膝关节功能恢复,降低并发症发生率。
Objective:To explore the effects of open reduction and internal fixation(ORIF) and minimally invasive percutaneous plate internal fixation(MIPPO) on stress response and complications in patients with tibial plateau fractures(FTP).Methods:The 100 FTP patients admitted to a hospital from November 2018 to November 2021 were selected and divided into two groups according to random number table method,with 50 patients in each group.The control group was treated with ORIF,and the observation group was treated with MIPPO.The surgical indicators,pain stress response [neuropeptide Y(NPY),prostaglandin E2(PGE2),substance P(SP)],knee function [US Special Surgery Hospital(HSS)] and incidence of complications were compared between the two groups.Results:There was no significant difference in operation time(P> 0.05).The intraoperative bleeding and incision length in the observation group were lower than those in the control group,and the hospital length was shorter than that in the control group(P<0.05).At 7 d after surgery,NPY,SP and PGE2 were higher than those before surgery in the two groups,and the observation group was lower than the control group(P<0.05).At 3 months after surgery,HSS score was higher than that before surgery in the two groups,and the observation group was higher than the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:Both ORIF and MIPPO can treat patients with FTP,but MIPPO has less trauma,less intraoperative bleeding and mild pain stress response,which can promote the recovery of knee function and reduce the incidence of complications.
作者
董旭亚
孟庆彪
Dong Xuya;Meng Qingbiao(Department of Trauma-Orthopaedic Hand Surgery,Luyi Zhenyuan Hospital,Zhoukou 477200)
出处
《数理医药学杂志》
CAS
2022年第9期1271-1274,共4页
Journal of Mathematical Medicine
关键词
胫骨平台骨折
切开复位内固定
微创经皮钢板内固定
疼痛应激
并发症
tibial plateau fracture
open reduction and internal fixation
minimally invasive percutaneous plate internal fixation
pain stress
complications
