标题：微创下内固定术治疗上肢骨折的临床效果观察

      作者：邓中华
    (遂宁市第一人民医院骨科，四川 遂宁 629000)

      卷次： 2014年25卷3期

      【摘要】 目的 观察微创下内固定术与常规固定方法治疗上肢骨折的临床疗效。方法 选取2011年6月
至2012年6月期间在我院住院治疗的58例上肢骨折患者为研究对象，58例患者随机分为实验组(30例)和对照组
(28例)。实验组采取微创下内固定术进行治疗，对照组采取传统的钢板固定术进行治疗。结果 实验组的平均
出血量为(289.5±11.4) ml，对照组为(405.7±14.1) ml；实验组的平均愈合时间为(11.7±2.6)周，对照组为(15.8±3.7)
周；实验组的平均可负重时间为(13.1±2.8)周，对照组为(16.9±4.2)周；实验组患者术后并发症的总发生率为6.6%，
对照组为32.1%；实验组患者的治疗优秀率为70.0%，对照组为42.9%。两组以上各项目比较差异均具有统计学
意义(P均＜0.05)。结论 微创下内固定术治疗上肢骨折临床效果显著，具有一定的临床应用价值。

      【关键词】 微创；内固定术；上肢骨折；临床效果

      【中图分类号】 R683.41 【文献标识码】 A 【文章编号】 1003—6350（2014）03—0407—02


Clinical effect of minimally invasive internal fixation in the treatment for upper limb fracture.
DENG
Zhong-hua. Department of Orthopedics, the First People's Hospital of Suining, Suining 629000, Sichuan, CHINA

【Abstract】 Objective To observe the clinical effects of minimally invasive internal fixation and conventional
fixation in the treatment of upper limb fracture. Methods Fifty-eight patients with upper limb fracture who received
treatment in our hospital from June 2011 to June 2012 were selected as research objects. The patients’illness informa-
tion during the treatment were recorded and retrospectively studied. The 58 patients were divided into experimental
group (n=30) and control group (n=28). The patients in experimental group adopted minimally invasive internal fixa-
tion treatment, and the patients in control group adopted the traditional steel plate fixation treatment. Results The av-
erage bleeding amount for patients in experimental group was (289.5±11.4) ml, while that of the control group was
(405.7±14.1) ml; the average healing time for patients in experimental group were (11.7±2.6) weeks, while that of the
control group were (15.8±3.7) weeks; the average load time for patients in experimental group were (13.1±2.8) weeks,
while that of the control group were (16.9±4.2) weeks; the total incidence of postoperative complications for patients
in experimental group was 6.6%, while that of the control group was 32.1%; the excellent healing rate for patients in
experimental group was 70.0%, while that of the control group was 42.9%. There were statistically significant differ-
ence between the two groups in the above items (P<0.05). Conclusion The clinical effect of minimally invasive in-
ternal fixation is remarkable for the treatment of upper limb fracture, which has much clinical application value.