下胫腓联合损伤影响踝关节稳定性的原因分析及临床研究

发布时间：2018-03-15 08:20

本文选题：下胫腓联合　切入点：踝关节稳定性　出处：《山东中医药大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:探讨影响踝关节稳定性的因素。分析踝关节下胫腓联合与踝关节稳定性的关系,探讨创伤性踝关节炎发生的生物力学机制,结合资料分析下胫腓联合损伤的治疗方法,为临床提供理论依据。方法:1.搜集50例下胫腓联合损伤的病例,并对这50例患者进行一般情况调查,总结证型,观察记录治疗前后症状、体征及影像学的变化。2.将50例下胫腓联合损伤的患者按照其治疗方式分成手术组(35例)和非手术组(15例)分别给予,3月为治疗疗程,观察结果随后进行踝关节功能评分,利用统计学分析软件SPSSl1.0,将两组所有数据通过统计学方法计算各参数均值、标准差及方差进行分析评估,行t检验,以P0.05作为有统计学意义。并进行统计分析。结果:1.下胫腓联合损伤能够对踝关节的稳定性产生较大的影响,损伤治疗前后踝关节稳定性的差异较大。2.手术组在改善踝关节症状及体征方面优于非手术组(P0.05);在改善踝关节功能方面优于非手术组(P0.05)。结论:下胫腓联合损伤是影响踝关节稳定性的重要因素,在处理踝关节损伤时应尽可能修复下胫腓联合,使其最大限度恢复原来的结构和功能,避免晚期出现创伤性踝关节骨性关节炎。早期进行手术治疗是一种安全有效的方法,值得进一步讨论和研究。
[Abstract]:Objective: to investigate the factors affecting the stability of ankle joint, to analyze the relationship between the tibiofibular syndesmosis of ankle joint and the stability of ankle joint, to explore the biomechanical mechanism of traumatic ankle arthritis, and to analyze the treatment method of the injury of inferior tibiofibular joint injury. Methods 50 cases with injury of the tibiofibular syndesmosis were collected, the general conditions of the 50 cases were investigated, the syndrome types were summarized, and the symptoms before and after treatment were observed and recorded. According to the treatment method, 50 patients with lower tibiofibular syndesmosis injury were divided into operation group (35 cases) and non-operative group (15 cases). The statistical analysis software SPSSL 1.0 was used to calculate the mean value, standard deviation and variance of the two groups of data by statistical method. Results: 1. The injury of the tibiofibular syndesmosis could have a great effect on the stability of the ankle. The difference of ankle joint stability before and after treatment is greater. 2. The operation group is superior to the non-operative group in improving the symptoms and signs of ankle joint, and in improving the function of ankle joint. Conclusion: the injury of the tibiofibular syndesmosis is a shadow of the lower tibiofibular syndesmosis injury. An important factor in the stability of the ankle, In the treatment of ankle injury, the inferior tibiofibular syndesmosis should be repaired as much as possible to restore its original structure and function to the maximum extent, and to avoid the late occurrence of traumatic osteoarthritis of the ankle. Early surgical treatment is a safe and effective method. It is worth further discussion and study.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

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