摘要
目的探讨不同手术方式治疗胫腓骨骨折的疗效及术后并发症情况。方法我院2008年1月～2010年6月手术治疗的100例胫腓骨骨折,根据入院随机数字表法将100例患者随机分为:A组(自锁髓内钉组)36例、B组(单臂外固定支架组)38例,C组(加压钢板组)26例,比较各组的手术疗效及并发症情况。结果 A组患者骨痂出现时间早、骨折愈合及住院时间短明显短于其他两组(P<0.05)。A组总有效率明显高于B组、C组(P<0.05)。且A组无一例发生再骨折,其术后并发症的发生率明显低于B组、C组,差异有统计学意义(P<0.05)。结论交锁髓内钉内固定治疗胫腓骨骨折疗效优于外固定支架、加压钢板治疗,并发症少,住院时间短,临床医生根据患者的具体情况应优先选择。
Objective To explore the different surgical treatment of tibia and fibula fracture and postoperative complications. Methods From January 2008 on June -2010 100 cases of surgical treatment of fractures of tibia and fibula, according to hospital random number table 100 patients were randomly divided into： A group （self-locking intramedullary nail group） 36 cases, B groups （external fixation group of 38 cases）, C （compression plate group）, 26 cases of surgical treatment groups were compared and com- plications. Results A group of patients occurred earlier callus, fracture healing and shorter hospital stay was significantly shorter than the other two groups （P 〈 0.05）. A group was significantly higher than B group, C group （P 〈 0.05）. A group of no case and re-fracture, the incidence of postoperative complications was significantly lower than the B group, C group, the difference was sta- tistically significant （P 〈 0.05）. Conclusion The interlocking nail fixation of tibia and fibula fracture with external fixation is superior, pressure plate in the treatment, less complications, shorter hospital stay, clinicians should be based on the specific circum- stances of the patients preferred.
出处
《中外医疗》
2012年第14期22-23,共2页
China & Foreign Medical Treatment
关键词
胫腓骨骨折
自锁髓内钉
单臂外固定支架
加压钢板
Tibia and fibula fracture
Self-locking intramedullary nail
External fixation
Compression plate
