微创经皮钢板与交锁髓内钉对比治疗胫骨骨折临床疗效分析

摘要

Objective To analyze the minimally invasive percutaneous plate and interlocking intramedullary nail in treatment of tibial fracture clinical curative effect contrast. Methods61 cases of tibial fracture patients were divided into 2 groups, 31 cases in experimental group were given minimally invasive percutaneous plate treatment, control group 30 examples give the interlocking intramedullary nail in the treatment of. ResultsThe experimental group, the excellent and good rate (93.55%) was signiifcantly higher than the control group (76.67%), the operation time [(62.15±7.23) min], the amount of intraoperative bleeding [(104.10±10.77) ml], the time of hospitalization [(10.26±2.10) d], fracture healing time [(15.91±1.37) weeks] were lower than the control group [operation time: (97.82±16.26) min, the amount of bleeding during operation: (170.75±22.11) ml, the time of hospitalization: (20.34±2.41) d, fracture healing time: (20.18±2.36) weeks, there was significant difference between 2 groups (P<0.05).ConclusionThe effect of minimally invasive percutaneous plate osteosynthesis for the treatment of tibial fracture with interlocking intramedullary nail is superior, its clinical efficacy is higher, intraoperative and postoperative conditions better.%目的：分析微创经皮钢板与交锁髓内钉对比治疗胫骨骨折的临床疗效。方法将61例胫骨骨折患者分为2组，实验组31例给予微创经皮钢板治疗，对照组30例给予交锁髓内钉治疗。结果实验组优良率（93.55%）高于对照组（76.67%），其手术时间[（62.15±7.23） min]、术中出血量[（104.10±10.77）ml]、住院时间[（10.26±2.10） d]、骨折愈合时间[（15.91±1.37）周]均少于对照组[手术时间（97.82±16.26）min，术中出血量（170.75±22.11）ml，住院时间（20.34±2.41）d，骨折愈合时间（20.18±2.36）周]，2组差异有统计学意义（P＜0.05）。结论微创经皮钢板治疗胫骨骨折的效果优于交锁髓内钉，其临床疗效较高，术中及术后情况较佳。