原创《闭合复位跳跃内固定治疗胫腓骨下段双骨折的疗效》：此文是一篇胫腓骨论文范文,为你的毕业论文写作提供有价值的参考。
【摘 要】 目的 探讨闭合复位跳跃内固定治疗胫腓骨下段双骨折的效果.方法 60例胫腓骨下段双骨折患者, 根据治疗方法不同分为观察组与对照组, 各30例.观察组患者采用闭合复位跳跃内固定进行治疗, 对照组患者采用常规手术方法进行治疗.比较两组手术时间、术中出血量、住院时间、骨痂出现时间、骨折愈合时间, 以及治疗效果、术后并发症发生情况.结果 观察组患者手术时间、术中出血量、住院时间、骨痂出现时间及骨折愈合时间均明显优于对照组, 差异具有统计学意义（P<0.05）.观察组患者并发症发生率为6.7%, 明显低于对照组的26.7%, 差异具有统计学意义（P<0.05）.观察组患者优良率为86.7%, 高于对照组的66.7%, 但比较差异无统计学意义（P>0.05）.结论 闭合复位跳跃内固定法治疗胫腓骨下段双骨折, 其闭合复位成功率高, 手术时间短, 出血量少, 疗效可靠, 是值得推广的治疗方法.
【关键词】 闭合复位跳跃内固定；胫腓骨下段双骨折；驱血带
DOI：10.14163/j.cnki.11-5547/r.2018.11.011
【Abstract】 Objective To discuss the effect of closed reduction and internal fixation in the treatment of double fracture of the lower tibia and fibula. Methods A total of 60 patients with double fracture of the lower tibia and fibula were divided by different treatment methods into observation group and control group, with 30 cases in each group. The observation group was treated with closed reduction and internal fixation, and the control group was treated with conventional surgical method. Comparison were made on operation time, intraoperative bleeding volume, hospitalization time, occurrence time of bone callus, fracture healing time, treatment effect and occurrence of postoperative complications between the two groups. Results The observation group had obviously better operation time, intraoperative bleeding volume, hospitalization time, occurrence time of bone callus and fracture healing time than the control group, and the difference was statistically significant （P<0.05）. The observation group had obviously lower incidence of complications as 6.7% than 26.7% in the control group, and the difference was statistically significant （P<0.05）. The observation group had higher excellent rate as 86. 7% than 66.7% in the control group, but the difference was not statistically significant （P>0.05）. Conclusion Closed reduction and internal fixation shows reliable efficacy in treating double fracture of the lower tibia and fibula with short operation time and less bleeding, and it is worthy of promotion.
【Key words】 Closed reduction and internal fixation； Double fracture of the lower tibia and fibula； Tourniquet
脛腓骨骨折通常位于中远段交界处, 胫腓骨下段双骨折者比较多见, 对于此类骨折, 通常是伴有明显移位的不稳定骨折, 均需手术复位内固定, 手术中是先固定腓骨, 还是先固定胫骨骨折, 尚未形成统一治疗规范.自2010年4月～2016年6月, 本科收治的胫腓骨下段双骨折的病例中, 选取应用闭合复位跳跃固定的方法治疗患者30例, 以及采用常规方法的30例患者, 比较手术效果, 现报告如下.
1 资料与方法
1. 1 一般资料 选取本院2010年4月～2016年6月收治的60例胫腓骨下段双骨折患者, 根据治疗方法不同分为观察组与对照组, 各30例.本组患者中, 男34例, 女26例；年龄23～63岁.胫骨骨折按AO分类：A型30例；B型21例, 其中4例为开放性骨折, Gustilo分型为Ⅰ型3例, Ⅱ型1例；C型9例.
胫腓骨论文参考资料：
结论：闭合复位跳跃内固定治疗胫腓骨下段双骨折的疗效为关于胫腓骨方面的的相关大学硕士和相关本科毕业论文以及相关胫腓骨论文开题报告范文和职称论文写作参考文献资料下载。
