| 姚成均,许跃伟,梁 丰,李进京.经皮微创螺钉内固定术治疗踝关节骨折疗效分析[J].中国烧伤创疡杂志,2022,(6):422~425. |
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| 中文关键词: 经皮微创螺钉内固定 切开复位内固定 踝关节 骨折 踝关节功能 生活质量 |
| 英文关键词:Percutaneous minimally invasive screw internal fixation Open reduction and internal fixation Ankle joint Fracture Ankle joint function Quality of life |
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| 中文摘要: |
| 【摘要】 目的 探讨经皮微创螺钉内固定术治疗踝关节骨折的临床疗效。方法 选取2018年10月至2020年10月义马市人民医院收治的 60 例踝关节骨折患者作为研究对象, 按照随机数表法将其随机分为观察组(30例)与对照组(30例), 观察组患者采用经皮微创螺钉内固定术治疗,对照组患者采用切开复位内固定术治疗, 对比观察两组患者术中出血量、手术时间、骨折愈合时间、住院时间、骨折复位及踝关节功能恢复情况与生活质量。结果 观察组患者术中出血量明显少于对照组 (t = 26.464, P < 0.001), 手术时间? 骨折愈合时间、住院时间均明显短于对照组 (t =2.775、2.227、9.230, P =0.007、P =0.030、P <0.001); 术后 2 周, 观察组患者骨折复位显效12例、有效13例、无效5 例, 与对照组患者的骨折复位显效14例、有效13例、无效3例无明显差异 (Z =-0.696,P=0.487); 术后12周，观察组患者中踝关节功能为优者13例、良者12 例、可者3例、差者2例，与对照组患者中踝关节功能为优者10例、良者11例、可者5例、差者4例无明显差异(Z =-1.140,P =0.254)；术后 12 周, 观察组患者生活质量中生理、心理、独立性、社会关系、环境、精神支柱评分均明显高于对照组 (t =2.172?2.499?2.528?3.161?4.918,P =0.034、0.015、0.014、0.014、0.002、0.001)。结论 经皮微创螺钉内固定术治疗踝关节骨折, 能够达到与切开复位内固定术相同的解剖复位效果, 且创伤更小, 可明显促进踝关节骨折愈合, 缩短骨折愈合时间及住院时间, 提高患者生活质量, 值得临床推广应用。 |
| 英文摘要: |
| 【Abstract】 Objective To analyze the curative effect of percutaneous minimally invasive screw internal fixation in the treatment of ankle fracture. Methods 60 patients with ankle fractures, admitted to Yima People’s Hospital from October 2018 to October 2020, were enrolled as research subjects, and then divided, using the random number table, into observation group (n = 30) and control group (n = 30). Patients in observation group were treated with percutaneous minimally invasive screw internal fixation, whereas patients in control group were treated with open reduction and internal fixation. The following indexes were observed and compared between the two groups including intraoperative blood loss, operation time, fracture healing time, length of stay, fracture reduction, ankle function recovery and quality of life of patients. Results Compared with control group, the intraoperative blood loss of patients in observation group was much less (t = 26.464, P < 0.001), the operation time, fracture healing time and length of stay were obviously shorter(t =2.775、2.227、9.230, P =0.007、P =0.030、P <0.001). 2 weeks after surgery, fracture reduction were markedly effective in 12 cases, effective in 13 cases and ineffective in 5 cases in observation group, which showed no statistically significant difference compared with control group (Z =-0.696,P=0.487) - markedly effective in 14 cases, effective in 13 cases and ineffective in 3 cases. 12 weeks after surgery, the recovery of ankle joint functions was evaluated excellent in 13 cases, good in 12 cases, fair in 3 cases and poor in 2 cases in observation group, which also showed no statistically significant difference compared with control group(Z =-1.140,P =0.254)- excellent in 10 cases, good in 11 cases, fair in 5 cases and poor in 4 cases; while the scores of quality of life indicators of patients, including physiology, psychology, independence, social relations, environment, spiritual / religious belief, were significantly higher in observation group than control group(t =2.172、2.499、2.528、3.161、4.918,P =0.034、0.015、0.014、0.014、0.002、0.001).Conclusion In the treatment of ankle fracture, the anatomical reduction effect of percutaneous minimally invasive screw internal fixation is equivalent to that of open reduction and internal fixation, and more importantly, the former, being less invasive, can significantly promote the healing of ankle fracture, shorten fracture healing time and length of stay, and improve the quality of life of patients, deserving to be promoted in clinical practice. |
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