中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
3期
57-58
,共2页
胫骨平台压缩骨折%膝关节镜%复位植骨内固定术
脛骨平檯壓縮骨摺%膝關節鏡%複位植骨內固定術
경골평태압축골절%슬관절경%복위식골내고정술
Tibial plateau compression fracture%Arthroscopy of the knee%Reduction and internal fixation with bone graft
目的：观察胫骨平台压缩骨折行膝关节镜辅助下复位植骨内固定术治疗的疗效。方法：2013年4月-2014年4月收治胫骨平台压缩骨折(Schazker Ⅱ、Ⅲ型)患者108例，按照随机数字法平均分成两组，对照组予以传统手术治疗，观察组予以膝关节镜辅助下复位植骨内固定术治疗，比较两组临床疗效、住院时间、膝关节愈合时间、关节活动度，以及并发症情况。结果：观察组临床治疗总有效率显著高于对照组，有统计学意义(P＜0.05)；观察组住院时间、膝关节愈合时间、关节活动度均优于对照组，差异有统计学意义(P＜0.05)；观察组并发症发生率显著低于对照组，有统计学意义(P＜0.05)。结论：胫骨平台压缩骨折行膝关节镜辅助下复位植骨内固定术治疗效果显著，具有微创、预后良好、并发症少等优点，值得临床推广。
目的：觀察脛骨平檯壓縮骨摺行膝關節鏡輔助下複位植骨內固定術治療的療效。方法：2013年4月-2014年4月收治脛骨平檯壓縮骨摺(Schazker Ⅱ、Ⅲ型)患者108例，按照隨機數字法平均分成兩組，對照組予以傳統手術治療，觀察組予以膝關節鏡輔助下複位植骨內固定術治療，比較兩組臨床療效、住院時間、膝關節愈閤時間、關節活動度，以及併髮癥情況。結果：觀察組臨床治療總有效率顯著高于對照組，有統計學意義(P＜0.05)；觀察組住院時間、膝關節愈閤時間、關節活動度均優于對照組，差異有統計學意義(P＜0.05)；觀察組併髮癥髮生率顯著低于對照組，有統計學意義(P＜0.05)。結論：脛骨平檯壓縮骨摺行膝關節鏡輔助下複位植骨內固定術治療效果顯著，具有微創、預後良好、併髮癥少等優點，值得臨床推廣。
목적：관찰경골평태압축골절행슬관절경보조하복위식골내고정술치료적료효。방법：2013년4월-2014년4월수치경골평태압축골절(Schazker Ⅱ、Ⅲ형)환자108례，안조수궤수자법평균분성량조，대조조여이전통수술치료，관찰조여이슬관절경보조하복위식골내고정술치료，비교량조림상료효、주원시간、슬관절유합시간、관절활동도，이급병발증정황。결과：관찰조림상치료총유효솔현저고우대조조，유통계학의의(P＜0.05)；관찰조주원시간、슬관절유합시간、관절활동도균우우대조조，차이유통계학의의(P＜0.05)；관찰조병발증발생솔현저저우대조조，유통계학의의(P＜0.05)。결론：경골평태압축골절행슬관절경보조하복위식골내고정술치료효과현저，구유미창、예후량호、병발증소등우점，치득림상추엄。
Objective:To explore the efficacy of the treatment of reduction and internal fixation with bone graft assisted with knee arthroscopy for tibial plateau compression fracture.Methods:108 patients with tibial plateau compression fracture(Schazker Ⅱ,Ⅲtype) were selected from April 2013 to April 2014.According to the random number table,they were divided into two groups.The control group were given traditional operation therapy,and the observation group were given the treatment of reduction and internal fixation with bone graft assisted with knee arthroscopy.We compared the clinical efficacy,hospitalization time,healing time of knee joint,joint activity,and complications of the two groups.Results:In the observation group,the total efficiency was significantly higher than that of the control group,and the difference was statistically significant(P<0.05);in the observation group, the time of hospitalization,the healing time,knee joint,joint activity was better than that of the control group,and the difference was statistically significant(P<0.05);in the observation group,the complication rate was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The efficacy of the treatment of reduction and internal fixation with bone graft assisted with knee arthroscopy for tibial plateau compression fracture is significant.It has the advantages of minimally invasive,less complications,good prognosis ans so on,it is worth the clinical promotion.
