带锁髓内钉与经皮微创钢板治疗胫骨中下段骨折的临床疗效比较观察

摘要

ObjectiveTo analyze and discuss the clinical curative effect of the treatment of middle and lower segment tibial fracture with interlocking intramedullary nail and minimally invasive plate.Methods 76 cases of middle and distal tibial fractures treated in our hospital from February 2014 to January 2015, were divided into experimental group and reference group according to the order of admission, each of the 38 cases. In the experimental group were treated with minimally invasive percutaneous plate treatment, patients given reference group treated with interlocking nails. Comparison of the two groups of patients with excellent fracture healing rate and complication rate.Results There was no signiifcant difference in fracture healing rate between the two groups,P>0.05,the incidence rate of complications in the experimental group was lower than that in the reference group,P<0.05.Conclusion The interlocking intramedullary nail and minimally invasive percutaneous plate in the treatment of tibial shaft fracture has a signiifcant effect, fewer complications of minimally invasive percutaneous plate therapy, should be promoted, but in the clinical treatment of patients based on the actual situation need a reasonable choice .%目的：分析与探讨带锁髓内钉与经皮微创钢板治疗胫骨中下段骨折的临床疗效。方法选取我院2014年2月～2015年1月所收治的76例胫骨中下段骨折患者，依据入院先后顺序将其分为实验组与参照组，各38例。实验组患者给予经皮微创钢板治疗，参照组患者给予带锁髓内钉治疗；比较两组患者的骨折愈合优良率与并发症发生率。结果两组患者的骨折愈合优良率比较差异无统计学意义，P＞0.05；实验组患者并发症发生率低于参照组，P＜0.05。结论带锁髓内钉与经皮微创钢板治疗胫骨中下段骨折均具有显著效果，经皮微创钢板治疗法并发症少，但在临床治疗中需依据患者实际情况进行合理选择。