中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2015年
21期
43-45,50
,共4页
金亚平%徐刚%金建华%万曲桥%金家财
金亞平%徐剛%金建華%萬麯橋%金傢財
금아평%서강%금건화%만곡교%금가재
球囊成形%开放内固定%胫骨平台塌陷骨折%疗效%HSS评分
毬囊成形%開放內固定%脛骨平檯塌陷骨摺%療效%HSS評分
구낭성형%개방내고정%경골평태탑함골절%료효%HSS평분
Balloon angioplasty%Fixation opening%Tibial plateau fracture collapse%Efficacy%HSS score
目的：探讨球囊成形术治疗胫骨平台塌陷骨折的效果。方法选择2013年1月~2014年5月乐清市人民医院收治的30例胫骨平台塌陷骨折患者为研究对象，采用随机数字表法将患者分为两组，分别进行球囊成形术（观察组）和传统开放内固定术（对照组）。比较两组临床疗效、术中术后情况、膝关节HSS评分、关节面塌陷程度及并发症发生情况。结果观察组总有效率为93.33%，对照组患者的总有效率为73.33%，两组比较差异有统计学意义（P<0.05）。观察组患者的手术时间[（72.14±10.86）min]、术中出血量[（32.56±10.31）mL]、切口长度[（5.87±1.41）cm]、骨折愈合时间[（3.12±0.61）个月]、住院时间[（15.98±3.47）d]均明显低于对照组[（104.57±11.39）min、（100.45±21.09）mL、（14.05±2.76）cm、（6.35±4.53）个月、（23.36±2.89）d]，差异均有统计学意义（P<0.05或P<0.01）。观察组患者的HSS评分[（82.34±15.67）分]明显高于对照组[（51.89±11.24）分]，关节面塌陷程度[（4.08±1.49）mm]低于对照组[（8.96±2.23）mm]，差异均有统计学意义（P<0.05）。观察组患者的并发症总发生率为13.33%，对照组患者的并发症总发生率为33.33%，两组比较差异有统计学意义（P<0.05）。结论球囊成形术用于胫骨平台塌陷骨折疗效显著，能够迅速达到解剖复位，降低并发症发生率，安全性高。
目的：探討毬囊成形術治療脛骨平檯塌陷骨摺的效果。方法選擇2013年1月~2014年5月樂清市人民醫院收治的30例脛骨平檯塌陷骨摺患者為研究對象，採用隨機數字錶法將患者分為兩組，分彆進行毬囊成形術（觀察組）和傳統開放內固定術（對照組）。比較兩組臨床療效、術中術後情況、膝關節HSS評分、關節麵塌陷程度及併髮癥髮生情況。結果觀察組總有效率為93.33%，對照組患者的總有效率為73.33%，兩組比較差異有統計學意義（P<0.05）。觀察組患者的手術時間[（72.14±10.86）min]、術中齣血量[（32.56±10.31）mL]、切口長度[（5.87±1.41）cm]、骨摺愈閤時間[（3.12±0.61）箇月]、住院時間[（15.98±3.47）d]均明顯低于對照組[（104.57±11.39）min、（100.45±21.09）mL、（14.05±2.76）cm、（6.35±4.53）箇月、（23.36±2.89）d]，差異均有統計學意義（P<0.05或P<0.01）。觀察組患者的HSS評分[（82.34±15.67）分]明顯高于對照組[（51.89±11.24）分]，關節麵塌陷程度[（4.08±1.49）mm]低于對照組[（8.96±2.23）mm]，差異均有統計學意義（P<0.05）。觀察組患者的併髮癥總髮生率為13.33%，對照組患者的併髮癥總髮生率為33.33%，兩組比較差異有統計學意義（P<0.05）。結論毬囊成形術用于脛骨平檯塌陷骨摺療效顯著，能夠迅速達到解剖複位，降低併髮癥髮生率，安全性高。
목적：탐토구낭성형술치료경골평태탑함골절적효과。방법선택2013년1월~2014년5월악청시인민의원수치적30례경골평태탑함골절환자위연구대상，채용수궤수자표법장환자분위량조，분별진행구낭성형술（관찰조）화전통개방내고정술（대조조）。비교량조림상료효、술중술후정황、슬관절HSS평분、관절면탑함정도급병발증발생정황。결과관찰조총유효솔위93.33%，대조조환자적총유효솔위73.33%，량조비교차이유통계학의의（P<0.05）。관찰조환자적수술시간[（72.14±10.86）min]、술중출혈량[（32.56±10.31）mL]、절구장도[（5.87±1.41）cm]、골절유합시간[（3.12±0.61）개월]、주원시간[（15.98±3.47）d]균명현저우대조조[（104.57±11.39）min、（100.45±21.09）mL、（14.05±2.76）cm、（6.35±4.53）개월、（23.36±2.89）d]，차이균유통계학의의（P<0.05혹P<0.01）。관찰조환자적HSS평분[（82.34±15.67）분]명현고우대조조[（51.89±11.24）분]，관절면탑함정도[（4.08±1.49）mm]저우대조조[（8.96±2.23）mm]，차이균유통계학의의（P<0.05）。관찰조환자적병발증총발생솔위13.33%，대조조환자적병발증총발생솔위33.33%，량조비교차이유통계학의의（P<0.05）。결론구낭성형술용우경골평태탑함골절료효현저，능구신속체도해부복위，강저병발증발생솔，안전성고。
Objective To investigate the effect of balloon angioplasty in the treatment of tibial plateau fracture collapse. Methods From January 2013 to May 2014 in the People's Hospital Yueqing City, 30 cases of tibial plateau fractures were collapsed for the study were randomly divided into balloon angioplasty (observation group) and traditional open in-ternal fixation (control group) according to the random number table. The clinical efficacy, intraoperative and postoper-ative cases, HSS scores, subsidence of the articular surface and occurrence of complications in two groups were com-pared. Results The total effective rate of the observation group was 93.33%, and the control group was 73.33%, the difference of two groups was statistically significant (P<0.05). The operative time [(72.14±10.86) min], blood loss [(32.56±10.31) mL], incision length [(5.87±1.41) cm], fracture healing time [(3.12±0.61) months], hospitalization time [(15.98±3.47)d] of the observation group were significantly lower than those of the control group [(104.57±11.39) min, (100.45±21.09)mL, (14.05±2.76) cm, (6.35±4.53) months, (23.36±2.89) d], the differences were statistically significant (P<0.05 or P<0.01);HSS scores of patients in the observation group [(82.34±15.67) points] was significantly higher than that of the control group [(51.89±11.24) points], the collapse degree of articular surface in the observation group [(4.08±1.49) mm] was lower than that of the control group [(8.96±2.23) mm], the differences of the two groups were statistically significant (P<0.05). The overall incidence of complication in the observation group was 13.33%, and the control group was 33.33%, the difference of the two groups was statistically significant (P<0.05). Conclusion Balloon angioplasty has significant effect for tibial plateau fracture collapse, can quickly achieve anatomic reduction, reduces the incidence of complica-tions, high safety.
