胫腓骨骨折不同手术治疗临床疗效观察.docVIP

胫腓骨骨折不同手术治疗临床疗效观察 　　【摘要】 目的 探讨不同手术方法治疗胫腓骨骨折的临床效果。方法 50例胫腓骨骨折患者作为研究对象， 采用双盲法将患者分为观察组（行带锁髓内钉固定手术）与对照组（行加压钢板内固定手术治疗）， 各25例。比较两组治疗效果。结果 观察组骨折愈合时间为（116.8±13.2）d， 明显短于对照组的（173.1±16.2）d， 差异具有统计学意义（P0.05）。观察组患者出现软组织感染1例（4.00%）， 明显少于对照组的6例（24.00%）， 差异具有统计学意义（P0.05）。观察组患者并发症率为4.00%， 明显低于对照组的24.00%， 差异具有统计学意义（P0.05）。观察组患者优良率为96.00%， 明显高于对照组的72.00%， 差异具有统计学意义（P0.05）。结论 采用带锁髓内钉固定手术治疗胫腓骨骨折临床效果更为显著， 可将其作为首选治疗方法 　　【关键词】 胫腓骨骨折；带锁髓内钉固定手术；加压钢板内固定手术；效果 　　DOI：10.14163/j.cnki.11-5547/r.2017.12.019 　　【Abstract】 Objective To investigate clinical effects by different surgical treatment for tibiofibular fracture. Methods A total of 50 patients with tibiofibular fracture as study subjects were divided by double-blind method into observation group （received intramedullary interlocking nail fixation for treatment） and control group （received compression plate internal fixation for treatment）， with 25 cases in each group. Curative effects were compared between the two groups. Results The observation group had obviously shorter fracture healing time as （116.8±13.2） d than （173.1±16.2） d in the control group， and their difference had statistical significance （P0.05）. The observation group had 1 case with soft tissue infection （4.00%）， which was much less than 6 cases in the control group （24.00%）， and the difference had statistical significance （P0.05）. The observation group had obviously lower incidence of complications as 4.00% than 24.00% in the control group， and the difference had statistical significance （P0.05）. The observation group had much higher good rate as 96.00% than 72.00% in the control group， and their difference had statistical significance （P0.05）. Conclusion Implement of intramedullary interlocking nail fixation shows remarkable clinical effect in treating tibiofibular fracture， and it can be applied as the preferred method in treatment. 　　【Key words】 Tibiofibular fracture； Intramedullary interlocking nail fixation； Compression plate internal fixation； Effect 　　?腓骨骨折是临床上