中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
7期
65-66,111
,共3页
胫骨平台骨折%关节镜%微创手术%切开复位内固定
脛骨平檯骨摺%關節鏡%微創手術%切開複位內固定
경골평태골절%관절경%미창수술%절개복위내고정
Tibial plateau fractures%Arthroscopy%Minimally invasive operation%Open reduction and internal fixation
目的 比较关节镜辅助微创手术与传统切开复位内固定术治疗胫骨平台骨折的临床疗效.方法 对德阳市第五医院2008年11月至2010年11月间分别采用关节镜辅助微创手术与传统切开复位内固定术治疗胫骨平台骨折患者的临床资料进行回顾性研究,比较两种治疗方法骨折愈合时间、术后并发症、Rasmussen膝关节功能评分情况.结果 关节镜辅助微创手术组优良率为88％,明显优于传统切开复位内固定术组为65.2％;骨折临床愈合时间关节镜辅助微创手术组平均10.5周,明显短于传统切开复位内固定术组平均13周(P＜0.05),Rasmussen膝关节功能评分关节镜辅助微创手术组平均25.4分,高于传统切开复位内固定术组平均21.8分(P＜0.05).结论 关节镜辅助微创手术治疗胫骨平台骨折较传统切开复位内固定术明显减少创伤、缩短骨折愈合时间、减少术后并发症的发生,术后功能恢复快,提高了胫骨平台骨折的治疗效果.
目的 比較關節鏡輔助微創手術與傳統切開複位內固定術治療脛骨平檯骨摺的臨床療效.方法 對德暘市第五醫院2008年11月至2010年11月間分彆採用關節鏡輔助微創手術與傳統切開複位內固定術治療脛骨平檯骨摺患者的臨床資料進行迴顧性研究,比較兩種治療方法骨摺愈閤時間、術後併髮癥、Rasmussen膝關節功能評分情況.結果 關節鏡輔助微創手術組優良率為88％,明顯優于傳統切開複位內固定術組為65.2％;骨摺臨床愈閤時間關節鏡輔助微創手術組平均10.5週,明顯短于傳統切開複位內固定術組平均13週(P＜0.05),Rasmussen膝關節功能評分關節鏡輔助微創手術組平均25.4分,高于傳統切開複位內固定術組平均21.8分(P＜0.05).結論 關節鏡輔助微創手術治療脛骨平檯骨摺較傳統切開複位內固定術明顯減少創傷、縮短骨摺愈閤時間、減少術後併髮癥的髮生,術後功能恢複快,提高瞭脛骨平檯骨摺的治療效果.
목적 비교관절경보조미창수술여전통절개복위내고정술치료경골평태골절적림상료효.방법 대덕양시제오의원2008년11월지2010년11월간분별채용관절경보조미창수술여전통절개복위내고정술치료경골평태골절환자적림상자료진행회고성연구,비교량충치료방법골절유합시간、술후병발증、Rasmussen슬관절공능평분정황.결과 관절경보조미창수술조우량솔위88％,명현우우전통절개복위내고정술조위65.2％;골절림상유합시간관절경보조미창수술조평균10.5주,명현단우전통절개복위내고정술조평균13주(P＜0.05),Rasmussen슬관절공능평분관절경보조미창수술조평균25.4분,고우전통절개복위내고정술조평균21.8분(P＜0.05).결론 관절경보조미창수술치료경골평태골절교전통절개복위내고정술명현감소창상、축단골절유합시간、감소술후병발증적발생,술후공능회복쾌,제고료경골평태골절적치료효과.
Objective To compare the curative effect of the arthroscopy auxiliary minimally invasive surgery and traditional open reduction internal on tibial plateau fracture.Methods The data of patients in the fifth hospital of Deyang from November 2008 to November 2010 with tibial plateau fracture who used arthroscopy assisted minimally invasive operation or ORIF were retrospectively studied.The fracture healing time,postoperative complications and Rasmussen knee joint function score were compared between the two groups.Results In arthroscopic assisted minimally invasive operation group,the excellent and good rate was 88％,significantly better than that of ORIF group,which was 65.2％.The healing time of fracture arthroscopy assisted minimally invasive operation group,the average time was 10.5 weeks,were significantly shorter than ORIF group,the average time was 13 weeks (P ＜ 0.05).Rasmussen knee function scores arthroscopic assisted minimally invasive operation group was 25.4,higher than that of ORIF group averaged 21.8 points (P ＜ 0.05).Conclusions Arthroscopic assisted minimally invasive operation in treatment of tibial plateau fractures compared with ORIF has significantly less trauma,shorter healing time,can reduce the incidence of postoperative complications,postoperative recovery time,improve the efficacy in treatment of fractures of the tibial plateau.
