中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
9期
1415-1416
,共2页
胫骨近端骨折%膝关节功能%手术治疗
脛骨近耑骨摺%膝關節功能%手術治療
경골근단골절%슬관절공능%수술치료
Proximal tibial fracture%Function of knee joint%Operation
目的:探讨T入路术式对胫骨近端骨折的治疗效果。方法:选取87例胫骨近端骨折患者,随机分为两组,观察组采用膝前髌骨下T形切口术式,对照组采用传统术式。观察两组患者术中情况及膝关节功能恢复、骨折愈合情况。结果:观察组平均手术时间长于对照组,差异有统计学意义(t=4.2,P<0.05)。根据Rasmussen膝关节功能评分,观察组优良率(95.6%)明显高于对照组(78.6%),差异有统计学意义(x2=5.7,P<0.05)。观察组临床愈合时间及骨性愈合时间明显短于对照组,差异有统计学意义(t=11.1、18.4,P<0.05)。结论:对胫骨近端骨折患者,膝前髌骨下T形切口术式可明显缩短骨折临床及骨性愈合时间,有利于膝关节功能的恢复,但手术时间延长。
目的:探討T入路術式對脛骨近耑骨摺的治療效果。方法:選取87例脛骨近耑骨摺患者,隨機分為兩組,觀察組採用膝前髕骨下T形切口術式,對照組採用傳統術式。觀察兩組患者術中情況及膝關節功能恢複、骨摺愈閤情況。結果:觀察組平均手術時間長于對照組,差異有統計學意義(t=4.2,P<0.05)。根據Rasmussen膝關節功能評分,觀察組優良率(95.6%)明顯高于對照組(78.6%),差異有統計學意義(x2=5.7,P<0.05)。觀察組臨床愈閤時間及骨性愈閤時間明顯短于對照組,差異有統計學意義(t=11.1、18.4,P<0.05)。結論:對脛骨近耑骨摺患者,膝前髕骨下T形切口術式可明顯縮短骨摺臨床及骨性愈閤時間,有利于膝關節功能的恢複,但手術時間延長。
목적:탐토T입로술식대경골근단골절적치료효과。방법:선취87례경골근단골절환자,수궤분위량조,관찰조채용슬전빈골하T형절구술식,대조조채용전통술식。관찰량조환자술중정황급슬관절공능회복、골절유합정황。결과:관찰조평균수술시간장우대조조,차이유통계학의의(t=4.2,P<0.05)。근거Rasmussen슬관절공능평분,관찰조우량솔(95.6%)명현고우대조조(78.6%),차이유통계학의의(x2=5.7,P<0.05)。관찰조림상유합시간급골성유합시간명현단우대조조,차이유통계학의의(t=11.1、18.4,P<0.05)。결론:대경골근단골절환자,슬전빈골하T형절구술식가명현축단골절림상급골성유합시간,유리우슬관절공능적회복,단수술시간연장。
Objective:To explore the effect of T approach operation to function of knee joint in patients with proximal tibial fracture.Methods:Selected 87 cases of patients with proximal tibial fracture,divided them into two groups randomly, while experimental group received T approach operation of anterior knee patella and control group received traditional operation. Compared the operation satuation,function recovery of knee joint and fracture healing.Results:Average operation time of experimental group was longer than that of control group, and a significant difference was observed(t=4.2,P<0.05).According to Rasmussen score of knee joint function, The excellent rate of experimental group(95.6%)was higher than that of control group(78.6%),and there was a significant difference between them(χ2=5.7,P<0.05).Clinical and bone healing time of experimental groups was shorter than that of control group, and a significant difference was observed (t=11.1、18.4,P<0.05).Conclusion:For patients with proximal tibial fracture,T approach operation of anterior knee patella can significantly shorten clinical and bone healing time,promote recovery of knee joint.