中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
11期
49-51
,共3页
跟骨关节内骨折%微创锁定板内固定%切开复位内固定
跟骨關節內骨摺%微創鎖定闆內固定%切開複位內固定
근골관절내골절%미창쇄정판내고정%절개복위내고정
Intra-articular calcaneal fractures%Minimally invasive locking plate fixation%Open reduction internal fixation
目的：评价微创锁定板内固定和切开复位内固定治疗跟骨关节内骨折临床效果。方法：选取2012年6月-2013年7月在本院骨科择期行手术治疗的76例跟骨骨折患者，按照随机数字表法将其分为微创内固定组和切开内固定组各38例，对两组患者手术时间、术中和术后出血量、住院时间、愈合时间进行比较，利用AOFAS踝和后足评分系统、视觉模拟量表（VAS法）和简明健康状况量表（SF-36）对两组患者术后治疗效果进行评价，并记录两组患者术后并发症发生情况。结果：微创内固定组的手术时间、术中和术后出血量均明显少于切开内固定组，差异均有统计学意义（P<0.05）；微创内固定组患者的AOFAS踝与后足评分和SF-36评分均明显高于切开内固定组，差异均有统计学意义（P<0.05），而两组的VAS评分比较差异无统计学意义（P>0.05）；微创内固定组总并发症发生率7.9%明显低于切口内固定组的36.8%，差异有统计学意义（P<0.05）。结论：微创锁定板内固定治疗跟骨关节内骨折临床效果优于切开复位内固定，有助于减少术后并发症的发生，促进跟骨术后功能恢复，提高患者生活质量，值得在临床推广使用。
目的：評價微創鎖定闆內固定和切開複位內固定治療跟骨關節內骨摺臨床效果。方法：選取2012年6月-2013年7月在本院骨科擇期行手術治療的76例跟骨骨摺患者，按照隨機數字錶法將其分為微創內固定組和切開內固定組各38例，對兩組患者手術時間、術中和術後齣血量、住院時間、愈閤時間進行比較，利用AOFAS踝和後足評分繫統、視覺模擬量錶（VAS法）和簡明健康狀況量錶（SF-36）對兩組患者術後治療效果進行評價，併記錄兩組患者術後併髮癥髮生情況。結果：微創內固定組的手術時間、術中和術後齣血量均明顯少于切開內固定組，差異均有統計學意義（P<0.05）；微創內固定組患者的AOFAS踝與後足評分和SF-36評分均明顯高于切開內固定組，差異均有統計學意義（P<0.05），而兩組的VAS評分比較差異無統計學意義（P>0.05）；微創內固定組總併髮癥髮生率7.9%明顯低于切口內固定組的36.8%，差異有統計學意義（P<0.05）。結論：微創鎖定闆內固定治療跟骨關節內骨摺臨床效果優于切開複位內固定，有助于減少術後併髮癥的髮生，促進跟骨術後功能恢複，提高患者生活質量，值得在臨床推廣使用。
목적：평개미창쇄정판내고정화절개복위내고정치료근골관절내골절림상효과。방법：선취2012년6월-2013년7월재본원골과택기행수술치료적76례근골골절환자，안조수궤수자표법장기분위미창내고정조화절개내고정조각38례，대량조환자수술시간、술중화술후출혈량、주원시간、유합시간진행비교，이용AOFAS과화후족평분계통、시각모의량표（VAS법）화간명건강상황량표（SF-36）대량조환자술후치료효과진행평개，병기록량조환자술후병발증발생정황。결과：미창내고정조적수술시간、술중화술후출혈량균명현소우절개내고정조，차이균유통계학의의（P<0.05）；미창내고정조환자적AOFAS과여후족평분화SF-36평분균명현고우절개내고정조，차이균유통계학의의（P<0.05），이량조적VAS평분비교차이무통계학의의（P>0.05）；미창내고정조총병발증발생솔7.9%명현저우절구내고정조적36.8%，차이유통계학의의（P<0.05）。결론：미창쇄정판내고정치료근골관절내골절림상효과우우절개복위내고정，유조우감소술후병발증적발생，촉진근골술후공능회복，제고환자생활질량，치득재림상추엄사용。
Objective:To investigate the clinical treatment efficacy of minimally invasive locking plate fixation and open reduction internal fixation in the treatment of intra-articular calcaneal fractures.Method:76 patients with calcaneal fracture in orthopedic department for elective surgery in our hospital from June 2012 to July 2013 were selected.All cases were randomly divided into the minimally invasive fixation group and the open reduction internal fixation group according to the admission number parity,38 cases in each group.The surgical time,intraoperative and postoperative bleeding, hospitalization time,healing time of the two groups were compared.The postoperative treatment efficacies of the two groups were evaluated by AOFAS ankle and hindfoot scoring system,visual analog scale(VAS method)and condensed Health Status Scale(SF-36).Postoperative complications of the two groups were recorded.Result:The surgical time and intraoperative and postoperative bleeding volume of the minimally invasive fixation group were significantly less than the open reduction internal fixation group,the differences were statistically significant(P<0.05).The AOFAS ankle and hindfoot scores and SF-36 scores of the minimally invasive fixation group were significantly higher than the open reduction internal fixation group,the differences were statistically significant(P<0.05).The difference of VAS scores between the two groups was not statistically significant(P>0.05).The total complication rate of the minimally invasive fixation group was 7.9%,it was significantly lower than 36.8% of the open reduction internal fixation group,the difference was statistically significant(P<0.05). Conclusion:The clinical treatment efficacy of intra-articular calcaneal fractures by minimally invasive locking plate fixation is better than open reduction internal fixation.It is helpful to reduce the incidence of postoperative complications,promote functional recovery after calcaneus surgery and improve the quality of life of patients,it is worthy of clinical promotion.
