髓内钉及微创钢板在肱骨干骨折内固定治疗中应用效果对比.docVIP

髓内钉及微创钢板在肱骨干骨折内固定治疗中应用效果对比 　　[摘要]目的 比较微创钢板内固定术和髓内钉内固定治疗肱骨干骨折的临床效果，以期找到更安全、高效的治疗方法。方法 回顾性分析2013年5月～2015年6月我院收治的72例肱骨干骨折患者的临床资料，将其随机分组，36例采用微创钢板内固定术的患者定为MIPO组，36例采用微创髓内钉内固定术的患者定为MIN组。比较两组的手术时间、术中出血量，骨折愈合时间及并发症发生情况。结果 MIN组的手术时间短于MIPO组，术中出血量少于MIPO组，差异有统计学意义（P0.05）。结论 髓内钉内固定术治疗肱骨干骨折较微创钢板内固定术的手术时间缩短，出血量减少，更加高效，降低了感染风险，值得深入探讨 [关键词]肱骨干骨折；微创技术；微创钢板内固定术；髓内钉 [中图分类号] R683.41 [文献标识码] A [文章编号] 1674-4721（2017）03（a）-0097-03 [Abstract]Objective To compare the clinical efficacy of minimally invasive plating osteosynthesis and minimally intramedullary nailing in the treatment of humeral shaft fractures in order to find a safer and more effective therapeutic approach.Methods The clinical data of 72 patients with humeral shaft fractures from May 2013 to June 2015 in our hospital were retrospectively analyzed.The data were evenly divided into two groups in random.36 patients treated by minimally invasive plate for internal fixation were classified into the MIPO group，and the rest 36 patients treated by intramedullary nail were categorized into the MIN group.The operation time，intraoperative amount of bleeding，healing time of bone fracture，and occurrence of complications in the two groups were compared.Results The operation time in the MIN group was shorter than that in the MIPO group，and intraoperative amount of bleeding in the MIN group was less than that in the MIPO group，with statistical differences （P0.05）.Conclusion In the treatment of humeral shaft fractures，minimally intramedullary nailing is more efficient and can shorten the operation time，decrease the amount of bleeding，and reduce the risk of infection in comparison with those by minimally invasive plating osteosynthesis，which needs further exploration. [Key words]Humeral shaft fracture；Minimally invasive technique；Minimally invasive plating osteosynthesis；Intramedullary nail 肱骨干骨折在临床上定义为指肱骨髁上2 cm至肱骨外科颈以下1～2 cm之间的骨折，存在局部肿胀疼痛，有时伴有成角畸形等症状[1]。近90%的患者可以通过保守治疗取得良好的临床效果[2]，保守疗法以夹板和石膏固定为主，能够避免手术创伤及术后并发症风险，但是保守治疗对周围软组织有一定