微创经皮钢板固定术与交锁髓内钉治疗胫骨远端关节外骨折疗效差异

发布时间：2018-06-09 06:35

本文选题：胫骨远端关节外骨折 + 微创经皮钢板固定术　；参考：《医学与哲学(B)》2017年04期

【摘要】：观察分析微创经皮钢板固定术(MIPPO)与交锁髓内钉(IMN)治疗胫骨远端关节外骨折的临床疗效。以2011年2月~2015年12月期间笔者所在医院骨科收治的134例符合胫骨远端关节外骨折诊断标准的患者作为研究对象,随机分为MIPPO组(n=67)和IMN组(n=67),MIPPO组给予MIPPO治疗,IMN组给予IMN治疗;观察两组患者术中治疗情况、术后临床疗效和并发症等。结果,MIPPO组患者手术时间、住院时间较IMN组均显著缩短,住院费用较高(P0.05)。两组术中出血量、愈合时间无明显差异(P0.05)。MIPPO组患者和IMN组患者治疗有效率均能达到90%以上,治愈率高,能够有效减轻患者痛苦;MIPPO组患者并发症发生率低(9.0%),无愈合延期、畸形等并发症,预后情况较佳,优于IMN组(P0.05)。MIPPO疗效突出,并发症少,能有效缩短手术时间并降低对骨组织的损伤,IMN法治疗费用低,不易感染,均对临床具有重要的意义。
[Abstract]:To observe and analyze the clinical effect of minimally invasive percutaneous plate fixation (MIPPO) and interlocking intramedullary nail (IMN) in the treatment of extraarticular fractures of distal tibia. From February 2011 to December 2015, 134 patients with extraarticular fractures of distal tibia were randomly divided into MIPPO group and IMN group. The intraoperative treatment, postoperative clinical efficacy and complications were observed in the two groups. Results the operation time and hospitalization time in MIPPO group were significantly shorter than those in IMN group, and the hospitalization cost was higher than that in IMN group. There was no significant difference in the amount of bleeding and healing time between the two groups. The effective rate of treatment was above 90% in both the P0.05-MIPPO group and the IMN group, and the cure rate was high. The rate of complications in the MIPPO group could effectively alleviate the pain of the patients with MIPPO, and the incidence of complications was lower than 9.0% and there was no delay in healing. The complications, such as deformity, had a better prognosis than IMN group (P 0.05N. MIPPO), with less complications, which could effectively shorten the operation time and reduce the cost of IMN therapy for bone tissue injury. All of them were of great significance to clinical practice.
【作者单位】：贵州省人民医院骨科二病区;
【分类号】：R687.32

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