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目的：探讨不同手术切口切开复位钢板内固定术治疗胫腓骨中下段双骨折的临床疗效。方法收入我院2010年01月~2014年06月70例手术治疗的胫腓骨中下段骨折骨折患者,其中A组双切口40例,B组单切口30例。男46例,女24例；年龄27~53岁,平均(45.5岁±6.5)。术后随访10~18个月,比较A/B两组患者手术时间、出血量、骨痂出现时间、并发症发生、骨折愈合时间。结果相比于双切口A组,单切口B组的手术时间短、出血量少,骨痂出现时间早、并发症的发生率低,<0.05,差异有统计学意义。结论胫前外侧单切口入路可直接显露胫腓骨中下段骨折,明显缩短手术时间,减少出血量,减少术后感染、骨钢板外露等并发症的发生,从而间接促进骨折的愈合。“,”Objective To discuss the clinical ef ect of dif erent incision open reduction and plate internal fixation treating distal tibial and fibular fractures.Methods Choose patients accepting surgery treatment of distal tibial and fibular fractures between January 2010 to June 2014 in our hospital. 70 patients were divided into bilateral incision group (group A) and unilateral group (group B), the number of the group A is 40 cases and the group B is 30. 46 cases of male, female 24 cases,aged 20 to 62 years old, average 45.5±6.5 years old. Postoperative fol ow-up of 10 to 18 months, compare A/B two groups of patients with operation time, blood loss, cal us occur ence time, complications, fracture healing time.Results Two groups of operation time,blood loss,cal us occur ence time, complications and the fracture healing time in patients with comparison, P < 0.05, and the dif erence was statistical y significant.Conclusion The unilateral incision' s operation for the treatment of distal tibial and fibular fractures compared with traditional surgery, can significantly shorten the operation time, less blood loss, Reduce the happening of the complications, and indirectly promote the healing of fracture.