赵敏生 杜国聪 陈铭 毛萍

【摘要】 目的 对比对闭合性胫腓骨骨折患者分别应用开放固定手术、髓内钉固定手术以及微创经皮钢板内固定（MIPPO）技术治疗的临床效果。方法 选取90例闭合性胫腓骨骨折患者作为临床研究对象， 采用随机数字表法分为对照组1组、对照2组、观察组， 每组30例。对照1组接受开放固定手术治疗， 对照2组接受髓内钉固定手术治疗， 观察组接受MIPPO技术治疗。比较三组患者的治疗效果及不良反应发生情况。结果 治疗5个月后， 观察组总有效率96.67%显著高于对照1组的53.33%和对照2组的66.67%， 差异具有统计学意义（P<0.05）;对照2组的治疗总有效率高于对照1组， 但差异无统计学意义（P>0.05）。治疗后， 观察组不良反应发生率0显著低于对照1组的26.67%和对照2组的13.33%， 差异具有统计学意义（P<0.05）;对照2组的不良反应发生率低于对照1组， 但差异无统计学意义（P>0.05）。结论 相比于开放固定手术、髓内钉固定手术治疗， 给予闭合性胫腓骨骨折患者应用MIPPO技术治疗效果更佳， 更利于患者术后恢复， 應用价值较高。

【关键词】 闭合性胫腓骨骨折;微创经皮钢板内固定技术;髓内钉固定手术;开放固定手术

DOI：10.14163/j.cnki.11-5547/r.2020.15.010

Observation on clinical effect of MIPPO technique in patients with closed fracture of tibia and fibula   ZHAO Min-sheng， DU Guo-cong， CHEN Ming， et al. Zhaoqing Gaoyao District Peoples Hospital， Zhaoqing 526000， China

【Abstract】 Objective   To compare the clinical effect of open fixation， intramedullary nail fixation and minimally invasive percutaneous plate osteosynthesis （MIPPO） technique in patients with closed fracture. Methods   A total of 90 patients with closed fracture were divided into control group 1， control group 2 and observation group by random number table method， with 30 cases in each group. The control group 1 was treated by open fixation， and control group 2 was treated by intramedullary nail fixation， and the observation group was treated by MIPPO technique. The therapeutic effect and occurrence of adverse reactions were compared among the three groups. Results   After 5 months of treatment， the total effective rate 96.67% of the observation group was significantly higher than that of the control group 1 53.33% and control group 2 66.67%， and the difference was statistically significant （P<0.05）. The total effective rate of control group 2 was higher than that of control group 1， but the difference was not statistically significant （P>0.05）. After treatment， the incidence of adverse reactions 0

of the observation group was significantly lower than that of control group 1 26.67% and control group 2 13.33%， and the difference was statistically significant （P<0.05）. The incidence of adverse reactions of control group

2 was lower than that of control group 1， but the difference was not statistically significant （P>0.05）. Conclusion   Compared with open fixation and intramedullary nail fixation， MIPPO technique shows better therapeutic effect for patients with closed fracture of tibia and fibula， which is more conducive to the postoperative recovery of patients and has higher application value.

【Key words】 Closed fracture of tibia and fibula; Minimally invasive percutaneous plate osteosynthesis; Intramedullary nail fixation; Open fixation

传统临床对于闭合性胫腓骨骨折患者多给予切开复位配合内固定治疗， 但由于创口较大， 术后患者恢复时间较长， 故康复速度较慢。随着微创技术的逐渐成熟， MIPPO技术在临床已得到广泛的应用[1]。现为探究将该技术应用于该疾病治疗中的临床效果， 特选取

2017年1月～2020年1月在本院进行治疗的90例闭合性胫腓骨骨折患者作为研究对象， 收集相关资料， 并进行分析， 现将具体情况报告如下。

1 资料与方法

1. 1 一般资料 选取2017年1月～2020年1月在本院接受治疗的闭合性胫腓骨骨折患者90例作为研究对象， 采用随机数字表法分为对照组1组、对照2组、观察组， 每组30例。对……