中国医学前沿杂志（电子版）
中國醫學前沿雜誌（電子版）
중국의학전연잡지（전자판）
CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
2014年
12期
100-102
,共3页
跖跗关节损伤%闭合复位内固定%切开复位内固定
蹠跗關節損傷%閉閤複位內固定%切開複位內固定
척부관절손상%폐합복위내고정%절개복위내고정
Plantar hocks damage%Closed reduction and internal fixation%Open reduction and internal ifxation
目的：比较分析闭合复位内固定与切开复位内固定治疗关节损伤的临床效果。方法选择本院2013年3月至2014年2月收治的84例跖跗关节损伤患者为研究对象，按照患者入院时间顺序分为观察组和对照组，每组各42例。对照组患者采取切开复位内固定治疗，观察组患者采取闭合复位内固定治疗。比较两组患者平均手术时间、平均愈合时间、临床疗效、并发症发生率、疼痛评分。结果观察组患者疼痛评分、平均手术时间、平均愈合时间分别为（2.36±1.01）分、（75.51±10.25）分钟、（12.31±2.65）天，与对照组[（4.23±1.08）分、（120.24±14.36）分钟、（18.69±3.36）天]比较差异显著（P＜0.05）；此外，观察组患者治疗优良率和并发症发生率分别为97.62%（41/42）和4.76%（2/42），与对照组[85.71%（36/42），16.67%（7/42）]比较差异显著（P＜0.05）。结论采用闭合复位内固定治疗跖跗关节损伤，能够缩短手术时间，减轻患者痛苦，促进其康复，提高治疗效果，且并发症发生率低。
目的：比較分析閉閤複位內固定與切開複位內固定治療關節損傷的臨床效果。方法選擇本院2013年3月至2014年2月收治的84例蹠跗關節損傷患者為研究對象，按照患者入院時間順序分為觀察組和對照組，每組各42例。對照組患者採取切開複位內固定治療，觀察組患者採取閉閤複位內固定治療。比較兩組患者平均手術時間、平均愈閤時間、臨床療效、併髮癥髮生率、疼痛評分。結果觀察組患者疼痛評分、平均手術時間、平均愈閤時間分彆為（2.36±1.01）分、（75.51±10.25）分鐘、（12.31±2.65）天，與對照組[（4.23±1.08）分、（120.24±14.36）分鐘、（18.69±3.36）天]比較差異顯著（P＜0.05）；此外，觀察組患者治療優良率和併髮癥髮生率分彆為97.62%（41/42）和4.76%（2/42），與對照組[85.71%（36/42），16.67%（7/42）]比較差異顯著（P＜0.05）。結論採用閉閤複位內固定治療蹠跗關節損傷，能夠縮短手術時間，減輕患者痛苦，促進其康複，提高治療效果，且併髮癥髮生率低。
목적：비교분석폐합복위내고정여절개복위내고정치료관절손상적림상효과。방법선택본원2013년3월지2014년2월수치적84례척부관절손상환자위연구대상，안조환자입원시간순서분위관찰조화대조조，매조각42례。대조조환자채취절개복위내고정치료，관찰조환자채취폐합복위내고정치료。비교량조환자평균수술시간、평균유합시간、림상료효、병발증발생솔、동통평분。결과관찰조환자동통평분、평균수술시간、평균유합시간분별위（2.36±1.01）분、（75.51±10.25）분종、（12.31±2.65）천，여대조조[（4.23±1.08）분、（120.24±14.36）분종、（18.69±3.36）천]비교차이현저（P＜0.05）；차외，관찰조환자치료우량솔화병발증발생솔분별위97.62%（41/42）화4.76%（2/42），여대조조[85.71%（36/42），16.67%（7/42）]비교차이현저（P＜0.05）。결론채용폐합복위내고정치료척부관절손상，능구축단수술시간，감경환자통고，촉진기강복，제고치료효과，차병발증발생솔저。
Objective To compare and analyse the closed reduction and internal ifxation with the clinical effect of open reduction and internal ifxation in the treatment of joint damage. Method Chose 84 cases treated by plantar hocks injury patients from March 2013 to February 2014 in our hospital, according to hospital admission time they were divided into observation group and control group, 42 cases in each group. Control group patients were treated with open reduction and internal ifxation, observation group patients were treated with closed reduction and internal fixation. Observed two groups of operation time, average healing time, clinical efifcacy, complications and pain scores. Result Pain scores, average operation time, average healing time of observation group patients were (2.36±1.01) points, (75.51±10.25) minutes and (12.31±2.65) days, compared with control group [(4.23±1.08) points, (120.24±14.36) minutes and (18.69±3.36) days] were signiifcantly different (P < 0.05);in addition, the good treatment rate and complication rate of observation group were 97.62% (41/42) and 4.76% (2/42), compared with control group [85.71% (36/42), 16.67%(7/42)] were signiifcantly different (P < 0.05). Conclusion With closed reduction and internal ifxation in the treatment of plantar hocks injury patients, it can shorten the operation time, reduce patient pain, promote patients recover, improve the effect of treatment, and has less complications.
