中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2015年
12期
100-101
,共2页
手法复位%切开复位%固定%足踝关节骨折
手法複位%切開複位%固定%足踝關節骨摺
수법복위%절개복위%고정%족과관절골절
Manipulative reduction%Open reduction%Fixation%Ankle joint fracture
目的：探讨手法复位固定与切开复位固定两种方案治疗足踝关节骨折临床疗效差异。方法病例资料均来源于我院近期收治足踝关节骨折患者150例，采用随机抽样方法分为①组和②组，每组各75例，分别采用手法复位外固定和切开复位内固定治疗；比较两组患者固定疗效和术后足踝关节功能评分。结果②组患者固定疗效优于①组，差异有统计学意义（P＜0.05）；②组患者术后足踝关节功能评分均优于①组，差异有统计学意义（P＜0.05）。结论切开复位内固定治疗足踝关节骨折可有效改善手术复位固定效果，提高踝关节运动功能，疗效优于手法复位外固定治疗。
目的：探討手法複位固定與切開複位固定兩種方案治療足踝關節骨摺臨床療效差異。方法病例資料均來源于我院近期收治足踝關節骨摺患者150例，採用隨機抽樣方法分為①組和②組，每組各75例，分彆採用手法複位外固定和切開複位內固定治療；比較兩組患者固定療效和術後足踝關節功能評分。結果②組患者固定療效優于①組，差異有統計學意義（P＜0.05）；②組患者術後足踝關節功能評分均優于①組，差異有統計學意義（P＜0.05）。結論切開複位內固定治療足踝關節骨摺可有效改善手術複位固定效果，提高踝關節運動功能，療效優于手法複位外固定治療。
목적：탐토수법복위고정여절개복위고정량충방안치료족과관절골절림상료효차이。방법병례자료균래원우아원근기수치족과관절골절환자150례，채용수궤추양방법분위①조화②조，매조각75례，분별채용수법복위외고정화절개복위내고정치료；비교량조환자고정료효화술후족과관절공능평분。결과②조환자고정료효우우①조，차이유통계학의의（P＜0.05）；②조환자술후족과관절공능평분균우우①조，차이유통계학의의（P＜0.05）。결론절개복위내고정치료족과관절골절가유효개선수술복위고정효과，제고과관절운동공능，료효우우수법복위외고정치료。
Objective To investigate clinical effects difference of two kinds of reduction and ifxation solution in the treatment of ankle joint fracture. Methods 150 patients with ankle joint fracture were chosen in recent years in our hospital and randomly divided into 2 groups including① group (75 patients) with external fixation by manipulative reduction and② group (75 patients) with internal ifxation by open reduction; and the clinical ifxed effect and postoperative ankle joint function scores of both groups were compared.Results The clinical fixed effect of② group was significant better than① group(P<0.05). The postoperative ankle joint function scores of②group was significant better than① group(P<0.05). Conclusion Compared with external fixation by manipulative reduction, internal ifxation by open reduction in treatment of ankle joint fracture can efifciently improve the operation diaplasis and ifxed effect and higher the function of ankle joint movement.
