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目的探讨交锁髓内钉与锁定接骨板在胫骨中段骨折运用中的疗效评价。方法自2009年1月~2015年10月共收治胫骨骨折320余例，其中采用交锁髓内钉及微创锁定接骨板治疗胫骨骨折共计230例，均得到随访资料，其中采用交锁髓内钉手术治疗130例，采用微创锁定接骨板治疗200例，比较两组病例手术时间、出血量及术中C臂透视次数、切口长度差异；对两组病例并发症包括：内固定物断裂、内固定松动、骨折未愈合例数、伤口感染率及骨髓炎发生率进行比较。结果手术时间、出血量及术中C臂透视次数、切口长度比较，差异无统计学意义；内固定物断裂、内固定松动、骨折未愈合例数、伤口感染率及骨髓炎发生率比较，差异有统计学意义；结论交锁髓内钉与微创锁定接骨板均是治疗胫骨中段骨折有效方法，但交锁髓内钉更具有术后并发症少，骨折更快愈合等优点。“,”Objective To investigate the paying interlocking intramedullary nails and locking plate in the middle tibia fractures using curative effect evaluation.Methods Since January 2009 ~ October 2015, a total of more than 320 cases of tibial fracture treated, which used in interlocking intramedullary nails and a total of 230 cases of tibial fractures treated by minimally invasive locking plate, averaging follow-up data, which USES the interlocking intramedullary nail surgery 130 cases, 200 cases treated with minimally invasive locking plate, incision length difference; On two groups of cases complications include: fracture, internal fixation loosening of internal fixation and fracture healing cases, to compare the incidence of wound infection and osteomyelitis. Results The operation time, bleeding amount and intraoperative C-arm X-ray, incision length comparison, the difference was not statistically significant; fracture fixation, fixation loosening, fracture nonunion cases, wound infection rate and osteomyelitis were compared, and the difference is statistically significant.Conclusion Interlocking intramedullary nail and minimally invasive locking plate is effective in treatment of fracture in the tibia, but locking intramedullary nail has less postoperative complications, fracture faster healing, etc.