中医微创手法结合锁定钢板外置治疗胫骨骨折的疗效分析-查卫斌

35720177CHINESEAＲCHIVESOFTＲADITIONALCHINESEMEDICINEVol．35No．7Jul．20171879DOI10．13193/j．issn．1673-7717．2017．07．067315100。20131—201619849。。12、、VAS。14．66±5．3717．53±6．39P＜0.059、、18．37%17、、34．96%P＜0.05VAS5．37±1．62VAS2．25±1．31VASP＜0.0591．84%81．63%P＜0.05。。VASＲ274．12B1673-7717201707-1879-042017－02－092015A6103181980－。1952－。ClinicalAnalysisofMinimallyInvasiveSurgeryCombinedwithLockingPlateExternalFixationforTreatmentofTibialFracturesZHAWeibinZHANGJunCHANGxiangSHENKuiXUＲongmingTheOrthopaedicsDepartmentMingzhouHospitalAffiliatedtoZhejiangUniversityNingbo315100ZhejiangChinaAbstractObjectiveToexploretheefficacyofminimallyinvasivesurgerycombinedwithlockingplateexternalfixa-tionforthetreatmentoftibialfractures．MethodsNinety－eightcasesoftibialfracturepatientsastheresearchobjectswererandomlydividedintostudygroupandcontrolgroupfromJanuary2013toJanuary2016inourhospital49patientsineachgroup．Patientsinthecontrolgroupweretreatedwithlockingplateexternalfixationwhilethestudygroupwastreatedwithminimallyinvasivesurgeryonthebasisofthecontrolgroup．Allpatientswerefollowedupfor12months．ThefracturehealingtimecomplicationsandincidencepainvisualanaloguescaleVASscoreandtotaleffectiveratewerecomparedbetweenthetwogroups．ＲesultsThestudygroup’sfracturehealingtimewas14．66±5．37weeksandthecontrolgroup’swas17．53±6．39weeks．Thestudygroup’swassignificantlyshorterthanthecontrolgroup’sandthedifferencewasstatisticallysignificantP＜0.05．Aftertreatmentthestudygroup’s9patientshaddelayedhealingnonunionpintractinfectionandthecomplicationratewas18．37%．Thecontrolgroup’s17patientshaddelayedheal-ingnonunionpintractinfectionandothercomplicationsandthecomplicationratewas34．96%．TheincidencerateofcomplicationsinthestudygroupwassignificantlylowerthanthatofthecontrolgroupandthedifferencewasstatisticallysignificantP＜0.05．Thecontrolgroup’sVASscorewas5．37±1．62andthestudygroup’swas2．25±1．31．ThescoreofVASinstudygroupwassignificantlylowerthanthatofthecontrolgroupandthedifferencewasstatisticallysignificantP＜0.05．Thetreatmentgroup’stotaleffectiveratewas91．84%andthatofthecontrolgroupwas81.63%．ThetotaleffectiverateofthetreatmentgroupwashigherthanthatofthecontrolgroupandthedifferencewasstatisticallysignificantP＜0.05．ConclusionMinimallyinvasivetechniquecombinedwithtraditionalChinesemedicineexternaltreatmentoftibiallockingplatefracturehassignificanteffectandcaneffectivelyshortenthehealingtimeandre-978135720177CHINESEAＲCHIVESOFTＲADITIONALCHINESEMEDICINEVol．35No．7Jul．20171880ducecomplicationsandthepainofpatientsworthyofpopularization．KeywordsChinesemedicineminimallyinvasivelockingplateexternaltibialfracturesVAS、、1。2。、、3。。11．120131—201619849。262334．2±4．85、29、11、4。252432．8±5．18、26、10、5。、、。①②③。1．21．2．1、、。。CX1cm。ⅩⅩ1。6～10d。4。1．2．2。、、、、。。。。。。1．3①Johner－Wruhs4、②VAS5③。1．4SPSS19．0。tχ2P＜0．05。22．1VASVASP＜0.05。1。1VAS珋x±sVAS4914．66±5．372．25±1．314917．53±6．395．37±1．62t2．0192．047P0．0450．0442．2、、P＜0.05。2。2珋x±s%4941418．374975534．96t6．119P0．0382．3P＜0.05。3。3%492551．022040．8248．1691．84491836．732244．90918．3781．63χ26．416P0．0323088135720177CHINESEAＲCHIVESOFTＲADITIONALCHINESEMEDICINEVol．35No．7Jul．20171881、6。。、、。。、、7－8。9。、10－11。、、、。、12。13。、。。VASVAS。“”、、。、、。ⅩⅩ2。。1．J．20132581176－1177．2．J．2014176692－694．3．J．20135z218－19．4．J．201632154－56．5．J．2014573266－67．6．J．2015294322－323．7．J．2016187440－441．8．、、J．2016248763－765．9．J．201611101470－1472．10．J．2014256931－932．11．J．201638172633－2635．12．J．2013293494－495．13．SandersⅡJ．2014326716－720．188135720177CHINESEAＲCHIVESOFTＲADITIONALCHINESEMEDICINEVol．35No．7Jul．2017ⅩⅩ1879－18811X21