中国医药科学2025，Vol.15Issue(16)：117-120,126,5.DOI:10.20116/j.issn2095-0616.2025.16.23
胫骨平台骨折应用CT三维重组技术引导经皮微创钢板内固定治疗的效果观察
Observation of the effect of the treatment of tibial plateau fracture with CT 3D recombination guided percutaneous minimally invasive plate internal fixation
摘要
Abstract
Objective To explore the effect of CT three-dimensional recombination technique guiding percutaneous minimally invasive plate internal fixation on the rehabilitation of patients with tibial plateau fracture.Methods A supportive study on 119 patients with tibial plateau fractures admitted to the Department of Orthopedics of Sanming First Hospital from February 2022 to December 2024,patients are divided into two groups according to random sample lottery,control group(59 cases)develop conventional CT guided percutaneous minimally invasive plate internal fixation treatment,observation group(60 cases)develop CT 3D recombination technology guide percutaneous minimally invasive internal fixation treatment,observe the changes in patients.Results The surgical efficacy indicators of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the visual analogue scale(VAS)and hospital for special surgery knee score(HSS)scores of patients before treatment(P>0.05).After treatment,the observation group had lower VAS scores and higher HSS scores than the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in the stress indicators of neuropeptide Y(NPY),prostaglandin E2(PGE2),and substance P(SP)between the two groups(P>0.05).After treatment,the observation group had significantly lower indicators than the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in bone morphogenetic protein(BMP)and neonatal bone alkaline phosphatase(NBAP)between the two groups(P>0.05).After treatment,the observation group had higher indicators than the control group,and the difference was statistically significant(P<0.05).The total effective rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion CT 3D recombination technology guided percutaneous minimally invasive plate internal fixation treatment has obvious advantages,which can promote the recovery of knee joint function,reduce the body stress response,improve the pain of patients,shorten the rehabilitation cycle,and have significant application value.关键词
经皮微创钢板内固定/胫骨平台骨折/疗效/手术Key words
Percutaneous minimally invasive plate internal fixation/Tibial plateau fracture/Efficacy/Surgery分类
医药卫生引用本文复制引用
温文伟..胫骨平台骨折应用CT三维重组技术引导经皮微创钢板内固定治疗的效果观察[J].中国医药科学,2025,15(16):117-120,126,5.基金项目
福建省三明市科技计划联合资助项目(2022-S-55). （2022-S-55）
