不同手术治疗踝部骨折的临床效果分析
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摘要
目的:分析不同手术治疗踝部骨折的临床效果。方法:选取我院收治的踝部骨折患者178例,采取数字随机法分成观察组和对照组,对照组采取常规手术治疗,观察组则采取关节镜下手术治疗,比较两组临床效果。结果:观察组总有效率95.51%,对照组总有效率80.90%,观察组患者总有效率高于对照组,差异有统计学意义(P<0.05)。观察组优良率87.64%,对照组优良率71.91%,观察组患者足部功能恢复评分优良率高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率0.00%,对照组并发症发生率0.00%,两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论:关节镜手术治疗踝部骨折临床效果显著,较常规手术更有优势,并且较为安全,临床价值较高。
Objective: To analyze the clinical effect of the different surgical treatment for ankle fracture. Methods: 178 patients with ankle fractures in our hospital were selected, and randomly divided them into the observation group and the control group, the control group received routine surgical treatment,observation group was treated with arthroscopic treatment, the clinical effects were compared between the two groups. Results: The total effective rate of the observation group was95.51%, the total effective rate of the control group was 80.90%,and the total effective rate of the observation group was higher than that of the control group, the difference was statistically significant(P < 0.05). The excellent and good rate of the observation group was 87.64%, and the excellent and good rate of the control group was 71.91%. The excellent and good rate of recovery of foot function in the observation group was higher than that in the control group, the difference was statistically significant(P<0.05). The incidence of complications in the observation group was 0%, and the incidence of complications in the control group was 0%. There was no significant difference between the two groups(P > 0.05). Conclusion: Arthroscopic treatment of ankle fracture clinical effect is remarkable, and has more advantages than conventional operation, safe, high clinical value.
Objective: To analyze the clinical effect of the different surgical treatment for ankle fracture. Methods: 178 patients with ankle fractures in our hospital were selected, and randomly divided them into the observation group and the control group, the control group received routine surgical treatment,observation group was treated with arthroscopic treatment, the clinical effects were compared between the two groups. Results: The total effective rate of the observation group was95.51%, the total effective rate of the control group was 80.90%,and the total effective rate of the observation group was higher than that of the control group, the difference was statistically significant(P < 0.05). The excellent and good rate of the observation group was 87.64%, and the excellent and good rate of the control group was 71.91%. The excellent and good rate of recovery of foot function in the observation group was higher than that in the control group, the difference was statistically significant(P<0.05). The incidence of complications in the observation group was 0%, and the incidence of complications in the control group was 0%. There was no significant difference between the two groups(P > 0.05). Conclusion: Arthroscopic treatment of ankle fracture clinical effect is remarkable, and has more advantages than conventional operation, safe, high clinical value.
引文
[1]唐志良,郭建利.不同手术治疗踝部骨折的临床疗效观察[J].中国卫生标准管理,2014,5(4):1-2.
[2]Potter,M.Q.,Blankenhorn,B.D.,Avilucea,F.R.et al.Osseous talofibular impingement after supination-external rotation stage II ankle fracture:Case report[J].Foot and ankle international,2012,33(11):1006-1010.
[3]马志国,闫厚军,郭永军.急诊微创技术应用无头加压螺钉治疗踝部骨折30例[J].临床军医杂志,2013,41(5):547.
[4]陈兵乾,薛峰,盛晓文,等.俯卧位后外侧入路手术治疗旋后外旋型踝部骨折的疗效分析[J].实用骨科杂志,2016,22(12):1132-1134.
[5]巫宗德,彭亮,王小兵,等.腓骨中下段骨折闭合复位经皮内固定术应用于踝部骨折的临床观察[J].四川医学,2014,35(9):1215-1216,1217.
[6]Keene,D.,James,G.,Lamb,S.E.et al.Factors associated with mobility outcomes in older people post-ankle fracture:An observational cohort study focussing on peripheral vessel function[J].Injury,2013,44(7):987-993.
[7]浦玉良.不同手术方法治疗踝部骨折的临床疗效对比分析[J].中国实用医药,2015,(11):54-55.
[8]杨衡,王军,石波,等.探究关节镜监视下踝部骨折复位固定的治疗效果[J].中国医疗器械信息,2016,22(10):15-16.
[2]Potter,M.Q.,Blankenhorn,B.D.,Avilucea,F.R.et al.Osseous talofibular impingement after supination-external rotation stage II ankle fracture:Case report[J].Foot and ankle international,2012,33(11):1006-1010.
[3]马志国,闫厚军,郭永军.急诊微创技术应用无头加压螺钉治疗踝部骨折30例[J].临床军医杂志,2013,41(5):547.
[4]陈兵乾,薛峰,盛晓文,等.俯卧位后外侧入路手术治疗旋后外旋型踝部骨折的疗效分析[J].实用骨科杂志,2016,22(12):1132-1134.
[5]巫宗德,彭亮,王小兵,等.腓骨中下段骨折闭合复位经皮内固定术应用于踝部骨折的临床观察[J].四川医学,2014,35(9):1215-1216,1217.
[6]Keene,D.,James,G.,Lamb,S.E.et al.Factors associated with mobility outcomes in older people post-ankle fracture:An observational cohort study focussing on peripheral vessel function[J].Injury,2013,44(7):987-993.
[7]浦玉良.不同手术方法治疗踝部骨折的临床疗效对比分析[J].中国实用医药,2015,(11):54-55.
[8]杨衡,王军,石波,等.探究关节镜监视下踝部骨折复位固定的治疗效果[J].中国医疗器械信息,2016,22(10):15-16.