摘要
目的探讨四肢骨折患者应用经皮微创内固定术治疗的效果。方法将2017年1月-2019年3月医院创伤骨科60例四肢骨折患者纳入研究,按照随机数字表法分为2组(30例/组),对照组施行传统切开复位内固定术,观察组施行经皮微创内固定术,比较手术情况、术后血清炎症因子指标、术后并发症发生率。结果两组的手术时间比较无明显差异(P>0.05),但术中出血量在观察组中小于对照组(P<0.05),术后并发症总发生率、术后C反应蛋白、降钙素原在观察组中均低于对照组(P<0.05)。结论经皮微创内固定术可减轻四肢骨折患者手术创伤,减轻术后炎症反应,使术后并发症减少。
Objective To explore the effect of minimally invasive percutaneous internal fixation for the treatment of limb fracture. Methods From January 2017 to March 2019, 60 cases of patients with limb fracture in orthopaedic trauma department of our hospital were included in the study. According to random number table, the patients were randomly divided into two groups. The control group was treated with traditional open reduction and internal fixation, while the observation group was treated with percutaneous minimally invasive internal fixation. The operation conditions, serum inflammatory factors and the incidence of complications were compared. Results The operation time was compared between the two groups, the difference was not obvious(P>0.05), but the amount of intraoperative bleeding in the observation group was less than that in the control group(P<0.05), and the total incidence of postoperative complications, C-reactive protein and procalcitonin in the observation group were lower than those in the control group(P<0.05). Conclusion Percutaneous minimally invasive internal fixation can reduce the surgical trauma of patients with limb fractures, reduce postoperative inflammatory response, and reduce postoperative complications.
作者
李锐
施永彦
刘世杰
LI Rui;SHI Yongyan;LIU Shijie(Department of Orthopaedics,Suizhou Central Hospital Affiliated to Hubei Medical College,Suizhou Hubei 441300,China)
出处
《中国继续医学教育》
2020年第13期109-111,共3页
China Continuing Medical Education
关键词
创伤骨科
四肢骨折
切开复位内固定术
经皮微创内固定术
手术
并发症
traumatic orthopaedics
limb fractures
open reduction and internal fixation
percutaneous minimally invasive internal fixation
surgery
complications
