研究微创闭合复位带锁髓内钉治疗胫骨干骨折的临床疗效

摘要

目的：研究微创闭合复位带锁髓内钉治疗胫骨干骨折的临床疗效。方法：对2011年7月-2013年7月笔者所在医院收治的42例胫骨干闭合性骨折患者，随机分为试验组和对照组。试验组采用微创闭合复位带锁髓内钉固定21处骨折，对照组采用切开复位钢板固定21处骨折。比较两种内固定方式患者手术切口长度、手术时间、术中出血量、骨折愈合时间、术后并发症的差异。结果：试验组切口长度、骨折愈合时间分别与对照组比较，差异有统计学意义(P<0.05)，手术时间、术中出血量、术后并发症与对照组比较差异无统计学意义(P>0.05)。结论：微创闭合复位带锁髓内钉内固定治疗胫骨干骨折具手术切口小、愈合时间快、术后并发症少、术中创伤小、术后功能恢复快的优点，临床疗效好，值得临床推广。%Objective:To study the clinical efficacy of minimally invasive closed reduction and interlocking intramedullary nail in the treatment of tibial shaft fractures.Method:42 cases with closed fractures of tibial shaft in our hospital from July 2011 to July 2013 were randomly divided into experimental and control groups.21 fractures in the experimental group were treated with minimally invasive closed reduction and interlocking intramedullary nailing,21 fractures in the control group were treated with open reduction and plate fixation.The incision length,operation time,blood loss,healing time difference,postoperative complications for two internal fixation surgery patients were compared.Result:The incision length,healing time in the experimental group compared with those in the control group,the differences were statistically significant(P<0.05),the operative time,blood loss,postoperative complications in the experimental group compared with those in the control group,there were no difference(P>0.05).Conclusion:Minimally invasive closed reduction and interlocking intramedullary nail fixation of tibial shaft fractures with small surgical incisions,faster healing time,fewer complications,small trauma surgery,postoperative functional advantages of quick recovery,good clinical efficacy,it is worthy of promotion.