| 甘坤宁 熊健斌 张波 黄家志 贺辉.双切口双侧钢板治疗SchazkerV, VI型骨折的疗效分析[J].,2016,16(18):3537-3539 |
| 双切口双侧钢板治疗SchazkerV, VI型骨折的疗效分析 |
| Analysis of the Clinical Effect of Double Incision Double Plate InternalFixation on Schazker V and VI Fracture |
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| DOI： |
| 中文关键词: 锁定钢板 双切口双钢板 胫骨平台骨折 |
| 英文关键词: Locking plate Double incision double plate Tibial plateau fracture |
| 基金项目:广西卫生厅自筹基金项目(Z2011291) |
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| 中文摘要: |
| 目的：探讨双切口双侧钢板法与传统手术治疗SchazkerV、VI 型骨折的临床疗效及安全性。方法：回顾性分析2007 年6 月
-2012 年6 月在我院行手术治疗的50 例SchazkerV、VI型骨折患者的病历资料，根据手术方法不同将患者分为治疗组及对照组。
治疗组25 例采用双切口双侧钢板治疗，对照组25 例采用锁定钢板内固定治疗。观察并比较两组的临床疗效及膝关节功能评分
变化。结果：治疗组住院时间、TPA、PSA、并发症发生率均低于对照组，差异有统计学意义(t=-2.889、-2.220、-2.377、4.348，P<0.05)；
治疗后两组Rasmussen 分级优良率均高于治疗前(P<0.05)，治疗组优良率高于对照组(P<0.05)。结论：采用双切口双钢板内固定术
治疗SchatzkerV、VI型胫骨平台骨折患者的临床疗效明显优于传统手术方法，可以显著降低术后并发症的发生率及住院时间。 |
| 英文摘要: |
| Objective:To investigate the clinical effect and safety of double incision double plate internal fixation and traditional
surgical method on schazker V, VI fracture.Methods:A retrospective study was performed on 50 cases of patients treated in our hospital
with tibal plateau fracture schazker V, VI fromJune 2009 to June 2014 and divided into the double incision double plate internal fixation
group (treatment group) and the traditional surgical method group, 25 cases in each group. The clinical efficacy and change of knee
function score were compared between two groups.Results:Compared with the control group, the hospitalization time, TPA, PSA,
incidence of complications weresignificantly lower in the treatment group (t=-2.889, -2.220, -2.377, 4.348, P<0.05). Compared with
before treatment, the excellent rate of Rasmussen grading of both groups were higher (P<0.05). Compared with the control group, the
excellent rate of treatment group after treatment was higher (P<0.05).Conclusion:For tibal plateau fracture schazker V, VI patients, the
clinical efficacy of double incision double plate internal fixation was better than traditional surgical method, which could decrease the
incidence of complications and hospital stay. |
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