微创手术MIPO治疗肱骨干中段骨折的临床分析

杨敏

[摘要] 目的 研究经皮微创接骨板技术（MIPO）治疗肱骨干中段骨折的临床疗效。方法 方便选取该院2015年2月—2016年2月收治的90例肱骨干中段骨折患者作为研究对象，随机抽签分为两组，各45例。观察组采用MIPO治疗。对照组采用传统手术方式治疗。两组患者术后随访3个月，比较两组患者手术时间、术中出血量、骨折愈合时间、术后并发症、肘关节和肩关节功能恢复情况。结果 观察组骨折愈合时间和平均住院时间分别为（15.78±1.43）周和（8.02±1.34）d，均显著于对照组（P<0.05），观察组肘关节和肩关节评分分别为（92.11±3.21）分和（91.77±3.91）分，均显著高于对照组（P<0.05）。观察组术后并发症总发生率为8.89%，明显低于对照组（P<0.05）。 结论 MIPO治疗肱骨干中段骨折能获得良好的术后关节功能恢复效果，且术后并发症相对传统手术较少，具有较高应用价值。

[关键词] 微创手术MIPO；肱骨干骨折；临床观察

[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-0742（2017）05（c）-0103-03

[Abstract] Objective To research the clinical curative effect of minimally invasive surgery MIPO in treatment of middle fracture of humeral shaft. Methods 90 cases of patients with middle fracture of humeral shaft admitted and treated in our hospital from February 2015 to February 2016 were conveniently selected and randomly divided into two groups with 45 cases in each， the observation group adopted the MIPO treatment， while the control group were treated with the traditional method， and the operation time， intraoperative bleeding amount， fracture healing time， postoperative complications， elbow joint and shoulder joint function recovery were compared between the two groups. Results The fracture healing time and average length of stay in the observation group were respectively （15.78±1.43）weeks and （8.02±1.34）d， which were obviously better than those in the control group（P<0.05）， and the elbow joint and shoulder joint scores in the observation group were respectively （92.11±3.21）points and（91.77±3.91）points， which were obviously higher than those in the control group（P<0.05）， and the incidence rate of postoperative complications in the observation group was 8.89%， which was obviously lower than that in the control group（P<0.05）. Conclusion The MIPO in treatment of middle fracture of humeral shaft can obtain a good postoperative joint function recovery effect and the postoperative complications are relatively fewer than those of the traditional surgery with higher application value.

[Key words] Minimally invasive surgery MIPO； Fracture of humeral shaft； Clinical observation

肱骨干骨折占全身骨折的1～3%，占肱骨骨折的20%左右[1]。目前，肱骨干中下段骨折通常采用加壓钢板内固定与髓内钉固定两种手术方式治疗[2]。经皮微创接骨板技术（MIPO）是一门新的治疗肱骨干骨折的手术方式，但目前临床对其认识不一[3]。为此，该研究纳入2015年2月—2016年2月该院收治90例肱骨干中段骨折患者，对比分析MIPO治疗与传统手术方式对患者围手术期及术后关节功能恢复的影响，现报道如下。

1 资料与方法

1.1 一般资料

方便选取该院收治的90例肱骨干中段骨折患者作为研究对象，随机抽签分为两组，各45例。观察组男32例，女13例；年龄（46.95±10.32）岁；AO分型：A3型7例，B1型8例，B2型9例，B3型15例，C1型6例。对照组男28例，女17例；年龄（47.11±9.98）岁；分型：A3型10例，B1型8例，B2型13例，B3型10例，C1型4例。两组患者性别、年龄、骨折分型差异无统计学意义（P>0.05）。

1.2 纳入标准

①所有患者均经CT三维重建明确骨折位移方位、角度；②两组患者或家属均签署知情同意书。……