微创经皮锁定加压钢板内固定治疗下肢骨折的临床效果

柳明 陈可锋 黄仕健 洪杏高 林诗慧

【摘要】 目的：分析下肢骨折患者应用微创经皮锁定加压钢板内固定治疗的临床效果。方法：将2016年1月-2018年10月笔者所在医院收治的56例下肢骨折患者作为研究对象，采用随机数字表法将其分为对照组和观察组，每组28例。对照组采用传统切开复位内固定术治疗，观察组采用微创经皮锁定加压钢板内固定治疗。比较两组治疗效果、手术情况、下肢活动能力、独立生活情况及相关并发症发生情况。结果：观察组治疗总有效率优于对照组，差异有统计学意义（P<0.05）。观察组患者下肢活动评分及独立生活评分均显著高于对照组，差异有统计学意义（P<0.05）。观察组患者术中出血量、手术时间、住院时间及愈合时间均显著优于对照组，差异有统计学意義（P<0.05）。观察组并发症发生率显著低于对照组，差异有统计学意义（P<0.05）。结论：对于下肢骨折患者应用微创经皮锁定加压钢板内固定治疗，可有效促进患者肢体功能恢复，降低并发症发生率，且手术时间短，有较高临床应用价值。

【关键词】 下肢骨折 微创经皮锁定加压钢板内固定 临床疗效

doi：10.14033/j.cnki.cfmr.2019.30.069 文献标识码 B 文章编号 1674-6805（2019）30-0-03

[Abstract] Objective： To analyze the clinical effect of minimally invasive percutaneous locking compression plate internal fixation for patients with lower limb fractures. Method： A total of 56 patients with lower limb fractures admitted in our hospital from January 2016 to October 2018 were selected as the study subjects. They were divided into the control group and the observation group by random number table method， 28 cases in each group. The control group was treated with traditional open reduction internal fixation， while the observation group was treated with minimally invasive percutaneous locking compression plate internal fixation. The therapeutic effect， operation condition， lower limb activity，independent living and related complications were compared between the two groups. Result： The total effective rate in the observation group was better than that in the control group， the difference was statistically significant （P<0.05）. The lower limb activity score and independent life score of the observation group were significantly higher than those of the control group， the differences were statistically significant （P<0.05）. The intraoperative blood loss， operation time， hospitalization time， and healing time in the observation group were significantly better than those in the control group， the differences were statistically significant （P<0.05）. The incidence of complications in the observation group was significantly lower than that in the control group， and the difference was statistically significant （P<0.05）. Conclusion： The application of minimally invasive percutaneous locking compression plate internal fixation in patients with lower limb fractures can effectively promote the recovery of limb function and reduce the incidence of complications， and the operation time is short， which has high clinical application value.

[Key words] Lower limb fracture Minimally invasive percutaneous locking compression plate internal fixation Clinical efficacy

First-authors address： Yangjiang Yangdong Peoples Hospital， Yangjiang 529900， China

随着交通和工业的发展，下肢骨折的发病率呈逐年递增趋势，属于骨科高发的骨折类型，主要临床表现为关节活动功能障碍、患处疼痛，严重者会出现继发感染、关节畸形[1]。目前，该疾病的主要治疗方式为手术治疗，传统临床多用切开复位内固定，但切口较大，术后并发症较多，不利于患者康复[2]。随着医疗技术的发展，微创已逐渐应用于各类手术中，为探究将该技术应用于下肢骨折中的治疗效果，现选取2016年1月-2018年10月笔者所在医院收治的56例下肢骨折患者作为研究对象，现将结果报告如下。

1 资料与方法

1.1 一般资料

将2016年1月-2018年10月筆者所在医院收治的56例下肢骨折患者作为研究对象，年龄24～78岁，平均（40.01±5.87）岁。采用随机数字表法将其分为两组，每组28例。对照组男15例，女13例;年龄24～76岁，平均（41.04±5.70）岁;胫腓骨骨折15例，股骨骨折13例;受伤原因：交通事故10例，高空坠落13例，压砸伤5例。……