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目的探讨锁定钢板外置治疗胫腓骨骨折患儿的临床效果。方法选取2012年3月至2014年3月广东省揭阳市中医院收治的胫腓骨骨折患儿资料84例,按随机数字表法将其分为观察组与对照组,各42例。观察组患儿采用锁定钢板外置治疗,对照组患儿给予钢板内固定治疗,比较两组患儿治疗后的疼痛视觉模拟量表(VAS)评分、肢体功能评分以及伤口愈合时间。结果观察组患儿VAS评分明显低于对照组,肢体功能评分高于对照组,伤口愈合时间短于对照组,差异均有统计学意义(均P<0.05)。结论锁定钢板外置治疗小儿胫腓骨骨折,可明显缓解患儿的疼痛症状,加快伤口愈合和肢体功能恢复,是治疗胫腓骨骨折的有效方法。
Objective To investigate the clinical effect of locking external plate in the treatment of tibiofibular fractures. Methods Eighty-four children with tibiofibular fractures admitted from March 2012 to March 2014 in Jieyang Chinese Medicine Hospital of Guangdong Province were divided into observation group and control group according to random number table method, with 42 cases in each group. The patients in the observation group were treated with external fixation of locking plate and the control group were treated with internal fixation. The pain visual analog scale (VAS) score, limb function score and wound healing time were compared between the two groups. Results The score of VAS in the observation group was significantly lower than that of the control group. The limb functional score was higher than that of the control group. The wound healing time was shorter than that of the control group (all P <0.05). Conclusion External locking plate treatment of pediatric tibiofibular fractures, can significantly relieve pain symptoms in children, accelerate wound healing and limb function recovery, is an effective method for the treatment of tibiofibular fractures.