经皮微创钢板接骨术技术结合锁定加压钢板内固定在四肢骨折创伤病人中的临床应用及对生活质量的影响

doi:10.3969/j.issn.1005-6483.2020.01.023

摘要/Abstract

摘要： 目的探究经皮微创钢板接骨术（minimally invasirepercutaneous plate osteosynthesis，MIPPO）技术结合锁定加压钢板（locking compression plate，LCP）内固定在四肢骨折创伤病人中的临床应用及对生活质量的影响。方法 2016年8月～2018年4月收治的四肢骨折创伤病人128例，随机分为两组，每组各64例，对照组采用LCP内固定治疗，研究组在LCP内固定治疗的基础上联合MIPPO技术。比较两组病人手术前后的生活质量及生活自理能力水平，并发症情况、手术相关情况及综合功能康复水平。结果研究组病人生活质量水平高于对照组，生活自理能力、综合功能康复水平和手术相关情况优于对照组，并发症发生率低于对照组，差异有统计学意义（P＜0.05）。结论应用MIPPO结合LCP内固定治疗四肢骨折创伤改善生活质量水平和生活自理能力，加快综合功能康复，减少手术并发症的发生。

关键词: 经皮微创钢板接骨术, 锁定加压钢板, 骨折, 生活质量

Abstract: Objective To explore the clinical application of percutaneous minimally invasive plate osteotomy（MIPPO）combined with locking compression plate（LCP）internal fixation in patients with limb fracture trauma and its impact on life quality.Methods A total of 128 patients with limb fracture trauma admitted to our hospital from August 2016 to April 2018 were randomly divided into two groups and given LCP internal fixation treatment to the control group，while the study group combined with MIPPO technology on the basis of LCP internal fixation treatment.The quality of life and self-care ability of the two groups before and after surgery were observed and compared，and the complications，surgical related conditions and comprehensive functional rehabilitation levels of the two groups were compared.Results The quality of life of the study group was significantly higher than that of the control group（P＜0.05）.The rehabilitation level of self-care ability，comprehensive function and operation related conditions of the study group were significantly better than those of the control group（P＜0.05），and the incidence of complications of the study group was significantly lower than that of the control group（P＜0.05）.Conclusion MIPPO technology combined with LCP internal fixation of fracture in the limbs trauma patients in clinical application had a good curative effect，not only can improve the quality of life of patients with self-care ability and life level，also can promote the comprehensive function in patients with rehabilitation speed，reduce the surgical complications.

Key words: MIPPO technology, LCP internal fixation, limb fracture trauma, clinical application, quality of life, impact study

刘辉均, 丁茂乾, 任诗松. 经皮微创钢板接骨术技术结合锁定加压钢板内固定在四肢骨折创伤病人中的临床应用及对生活质量的影响[J]. 临床外科杂志, 2020, 28(1): 78-81.

LIU Huijun, DING Maoqian, REN Shisong.. Study on the clinical application of MIPPO technology combined with locking compression plate internal fixation in patients with limb fracture trauma and its effect on quality of life[J]. JOURNAL OF CLINICAL SURGERY, 2020, 28(1): 78-81.

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