切开复位内固定和微创经皮钢板治疗胫骨中下段骨折效果对比分析.docVIP

切开复位内固定和微创经皮钢板治疗胫骨中下段骨折效果对比分析 　　【摘要】目的：对比分析切开复位内固定与微创经皮钢板治疗胫骨中下段骨折的临床效果。方法：收集我院2011年10月-2013年10月期间诊治的胫骨中下段骨折患者60例作为研究对象，随机分为观察组与对照组，每组患者各30例。对照组采用切开复位内固定治疗，观察组采用微创经皮钢板治疗，对两组患者的临床效果进行分析对比。结果：研究结果显示，观察组总愈合率为100.0%，所有患者均未发生感染；对照组总愈合率为76.67%，有4例患者发生浅表感染，感染率为13.33%，观察组患者的治疗效果明显优于对照组（P0.05）。结论：与切开复位内固定治疗方法比较，微创经皮钢板治疗胫骨中下段骨折的临床效果更加显著，能有效提高骨折愈合率并降低感染率，值得在临床应用上推广。 　　【关键词】切开复位内固定；微创经皮钢板；胫骨中下段骨折 　　[Abstract] Objective：comparative analysis of open reduction and internal fixation and clinical effect of minimally invasive percutaneous plate osteosynthesis in the treatment of distal tibial fractures. Methods： in our hospital from 2011 October -2013 year in October during the treatment of distal tibial fractures in 60 patients as the research object， randomly divided into observation group and control group， 30 cases of patients in each group. The control group was treated by open reduction and internal fixation， the observation group was treated with minimally invasive percutaneous plate treatment， compared two groups of patients with clinical effect. Results： the observation group， the total healing rate was 100%， all patients had no infection； control group total healing rate was 76.67%， with superficial infection occurred in 4 patients， the infection rate was 13.33%， the observation group patients was significantly better than the control group （P0.05）. Conclusion： compared with open reduction and internal fixation method， the clinical effect of minimally invasive percutaneous plate osteosynthesis in the treatment of distal tibial fractures is more significant， can improve the healing rate andreduce the infection rate of fracture， is worthy to be popularized in clinical application. 　　[keyword] open reduction and internal fixation； minimally invasive percutaneous plate； fracture of tibial shaft 　　胫骨中下段骨折发生率不高，但这种骨折的病情往往比较复杂，大大提高了治疗难度。随着科学技术水平和医疗技术水平的发展与进步，各种治疗胫骨中下段骨折方法也不断增多，并各具优势[1]。本文旨在对切开复位内固定与微创经皮钢板治疗胫骨中下段骨折的临床效果进行对比分析，特选取我院2011年10月-2013年10月期间收治的60名胫骨中下段骨折患者进行分组试验，现报道如