现代仪器与医疗
現代儀器與醫療
현대의기여의료
Modern Instruments & Mediccal Treatment
2015年
5期
40-42
,共3页
关节镜%微创%内固定%胫骨平台骨折%膝关节
關節鏡%微創%內固定%脛骨平檯骨摺%膝關節
관절경%미창%내고정%경골평태골절%슬관절
arthroscopy%minimally invasive%internal fixation%fracture of tibial plateau%knee joint
目的：观察关节镜辅助下微创内固定治疗对胫骨平台骨折患者膝关节功能的影响，探讨其临床价值。方法：以我院2011年9月～2013年9月收治的128例 Schatzker Ⅰ～Ⅲ型胫骨平台骨折患者为研究对象。随机分为观察组及对照组，各64例。两组分别接受关节镜辅助下微创内固定及传统切开复位内固定手术治疗。比较其预后及膝关节功能变化。结果：观察组术中透视次数、手术时间、术中出血量、住院时间、愈合时间、术后并发症发生率均显著低于对照组，其术后3个月、术后1年膝关节功能评分显著高于对照组，差异有统计学意义（P ＜0.05）。结论：关节镜辅助下微创内固定治疗 Schatzker Ⅰ～Ⅲ型胫骨平台骨折具有创伤小、恢复快、并发症少等优势，能够有效改善患者膝关节功能，且能够降低医生及患者对放射线暴露。
目的：觀察關節鏡輔助下微創內固定治療對脛骨平檯骨摺患者膝關節功能的影響，探討其臨床價值。方法：以我院2011年9月～2013年9月收治的128例 Schatzker Ⅰ～Ⅲ型脛骨平檯骨摺患者為研究對象。隨機分為觀察組及對照組，各64例。兩組分彆接受關節鏡輔助下微創內固定及傳統切開複位內固定手術治療。比較其預後及膝關節功能變化。結果：觀察組術中透視次數、手術時間、術中齣血量、住院時間、愈閤時間、術後併髮癥髮生率均顯著低于對照組，其術後3箇月、術後1年膝關節功能評分顯著高于對照組，差異有統計學意義（P ＜0.05）。結論：關節鏡輔助下微創內固定治療 Schatzker Ⅰ～Ⅲ型脛骨平檯骨摺具有創傷小、恢複快、併髮癥少等優勢，能夠有效改善患者膝關節功能，且能夠降低醫生及患者對放射線暴露。
목적：관찰관절경보조하미창내고정치료대경골평태골절환자슬관절공능적영향，탐토기림상개치。방법：이아원2011년9월～2013년9월수치적128례 Schatzker Ⅰ～Ⅲ형경골평태골절환자위연구대상。수궤분위관찰조급대조조，각64례。량조분별접수관절경보조하미창내고정급전통절개복위내고정수술치료。비교기예후급슬관절공능변화。결과：관찰조술중투시차수、수술시간、술중출혈량、주원시간、유합시간、술후병발증발생솔균현저저우대조조，기술후3개월、술후1년슬관절공능평분현저고우대조조，차이유통계학의의（P ＜0.05）。결론：관절경보조하미창내고정치료 Schatzker Ⅰ～Ⅲ형경골평태골절구유창상소、회복쾌、병발증소등우세，능구유효개선환자슬관절공능，차능구강저의생급환자대방사선폭로。
Objective: To observe the effect of arthroscopic assisted minimally invasive internal fixation on the function of the knee joint in patients with tibial plateau fractures. Methods: 128 cases of tibial plateau fractures were treated as the research object. They were randomly divided into observation group and control group, 64 cases in each. The two groups received arthroscopic assisted minimally invasive internal fixation and conventional open reduction and internal fixation for treatment. Compared the the knee function scores. Results: The perspective times, operation time, intraoperative blood loss, hospitalization time, healing time, postoperative complication rate in the were significantly lower than those of the control group. 3 months and 12 months after operation., the knee function scores of observation group were significantly higher than those of control group, the difference was statistically significant (P < 0.05). Conclusion: Arthroscopic assisted minimally invasive internal fixation for the treatment of Schatzker I ~ III tibial plateau fracture has the advantage of less trauma, quicker recovery, fewer complications and so on many kinds of, which can effectively improve the knee joint function of patients.
