CAJ | 학술논문

目的：比较经皮撬拨内固定与切开复位内固定治疗跟骨骨折的临床疗效。方法将我院收治的78例跟骨骨折患者按照数字随机分组法分为实验组和对照组，实验组患者给予经皮撬拨复位内固定治疗，对照组患者给予常规切开复位内固定治疗，比较两组患者临床疗效、术后Maryland评分、住院时间、并发症发生率、及术后Bohlers角和Gisanse角变化情况。结果实验组患者平均住院时间明显低于对照组，差异具有统计学意义（P＜0.05）；两组患者治疗优良率、术后Maryland评分和并发症发生率比较，差异无统计学意义（P＞0.05）；两组患者术后1d及术后12个月Bohlers角和Gisanse角均明显增加，与术前比较差异均具有统计学意义（P＜0.05），但两组间比较，差异无统计学意义（P＞0.05）。结论两种手术方法均能有效矫正跟骨骨折患者各项X线指标，并发症少，临床疗效基本相同，但经皮撬拨内固定创伤小、术后恢复时间短更具临床优势。
목적：비교경피효발내고정여절개복위내고정치료근골골절적림상료효。방법장아원수치적78례근골골절환자안조수자수궤분조법분위실험조화대조조，실험조환자급여경피효발복위내고정치료，대조조환자급여상규절개복위내고정치료，비교량조환자림상료효、술후Maryland평분、주원시간、병발증발생솔、급술후Bohlers각화Gisanse각변화정황。결과실험조환자평균주원시간명현저우대조조，차이구유통계학의의（P＜0.05）；량조환자치료우량솔、술후Maryland평분화병발증발생솔비교，차이무통계학의의（P＞0.05）；량조환자술후1d급술후12개월Bohlers각화Gisanse각균명현증가，여술전비교차이균구유통계학의의（P＜0.05），단량조간비교，차이무통계학의의（P＞0.05）。결론량충수술방법균능유효교정근골골절환자각항X선지표，병발증소，림상료효기본상동，단경피효발내고정창상소、술후회복시간단경구림상우세。
Objective To compare of the effect for calcaneal fractures by using the methods of PPFK and ORIF. Methods 78 cases of patients with calcaneal fractures were randomly divided into two groups.The experiment group were treated by PPFK,the control group were treated by ORIF. The clinical effects,the score of Maryland, hospital stay,the incidences of complications,Bohlers angle and Gisanse angle were compared. Results The hospital stay of the treatment group were shorter than that of the control group(P<0.05);The difference were not statistically significant between fineness rate,the score of Maryland and the incidences of complications(P > 0.05);The Bohlers angle and Gisanse angle were increased obviously(P<0.05),there was a significant difference than preoperative(P>0.05),there was not a significant difference between the two groups(P < 0.05). Conclusion It can improve the X ray index for calcaneal fractures by two surgery,it has no complications,and it with the same clinical effects.It has small wound and rapid recovery,it has clinical advantage.