| 张 勇,郭维忠,张 媛,陶 可,马小军.改良后入路MIPPO肱骨远端锁定钢板治疗肱骨下段骨折的疗效及对骨代谢的影响[J].,2020,(8):1596-1600 |
| 改良后入路MIPPO肱骨远端锁定钢板治疗肱骨下段骨折的疗效及对骨代谢的影响 |
| Curative Efficacy of Modified Posterior Approach MIPPO Distal Humeral Locking Plate in the Treatment of Fracture of Lower Humerus and Its Effects on the Bone Metabolism |
| 投稿时间：2019-07-23 修订日期：2019-08-18 |
| DOI：10.13241/j.cnki.pmb.2020.08.044 |
| 中文关键词: 肱骨下段骨折 经皮微创锁定钢板内固定术 骨代谢 安全性 |
| 英文关键词: Lower humeral fracture Percutaneous minimally invasive locking plate internal fixation Bone metabolic Safety |
| 基金项目:秦皇岛市科学技术与发展计划项目(201805A040) |
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| 中文摘要: |
| 摘要 目的：探讨改良后入路经皮微创锁定钢板内固定术(MIPPO)肱骨远端锁定钢板治疗肱骨下段骨折的疗效及对骨代谢的影响。方法：回顾性分析2016年1月至2018年1月我院收治的85例肱骨下段骨折患者临床资料，通过治疗方式不同分为观察组45例和对照组40例，观察组使用改良后入路MIPPO技术进行内固定治疗，对照组使用传统切开复位普通钢板内固定治疗，比较两组手术情况、骨代谢、肘关节恢复情况及不良反应的发生情况。结果：两组手术时间比较差异无统计学意义(P＞0.05)，观察组术中出血量明显少于对照组，住院时间、骨折愈合时间明显比对照组缩短(P＜0.05)；观察组手术后2周、4周、8周时血清骨钙素(OCN)、碱性磷酸酶(ALP)水平均明显高于对照组(P＜0.05)；末次随访时，观察组Mayo肘关节功能评分(MEPS)优良率明显高于对照组(P＜0.05)。结论：改良后入路MIPPO技术对肱骨下段骨折的内固定效果满意，具有损伤小、术后恢复快等优点，且有利于骨代谢。 |
| 英文摘要: |
| ABSTRACT Objective: To study the curative efficacy of modified posterior approach percutaneous minimally invasive locking plate internal fixation(MIPPO) distal humeral locking plate in the treatment of lower humeral fracture and its effects on the bone metabolism. Methods: The clinical data of 85 patients with lower humeral fracture admitted to our hospital from January 2016 to January 2018 were retrospectively analyzed. According to different treatment, those patients were divided into the 45 cases in the observation group and 40 cases in the control group, the observation group was treated with modified posterior approach MIPPO technique, while the control group was treated with traditional open reduction and internal fixation with common plate. The operation condition, bone metabolism, elbow joint recovery and incidence of adverse reaction were compared between the two groups. Results: There was no significant difference in the operation time between the two groups(P＞0.05); the intraoperative bleeding volume in the observation group was significantly less than that of the control group, and the length of stay and fracture healing time in the observation group were significantly shorter than those of the control group(P＜0.05); the serum osteocalcin (OCN) and alkaline phosphatase (ALP) levels in the observation group were significantly higher than those of the control group at 2, 4 and 8 weeks after surgery(P＜0.05); at the last follow-up, the excellent and good rate of Mayo elbow function score (MEPS) in the observation group was significantly higher than that of the control group(P＜0.05). Conclusion: Modified posterior approach MIPPO technique has satisfactory effect on internal fixation of lower humeral fracture, it has the advantages of less injury and faster recovery after operation, and it's beneficial to bone metabolism. |
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