经皮双螺钉交叉固定技术治疗距下关节炎的临床应用研究

发布时间：2018-04-04 18:25

本文选题：经皮　切入点：双螺钉　出处：《山东中医药大学》2017年硕士论文

【摘要】：目的本课题通过对经皮双螺钉交叉固定技术与植骨融合技术、临床经验方-生骨饮在治疗距下关节炎的临床应用研究,以探讨经皮双螺钉交叉固定技术治疗距下关节炎的优势,为治疗距下关节炎提供可靠的临床依据。方法采用随机对照的研究方法。将患者按照随机分组原则进行分组,采取经皮双螺钉交叉固定技术组为试验组,采取传统的后外侧“L”切口植骨融合技术组为对照组,采取保守治疗的为中药组。记录并分析观察组、对照组及中药组患者在治疗前后的X线片。记录并分析试验组与对照组患者的临床愈合时间;同时观察试验组与对照组患者手术时间、术中出血量、术后并发症。末次随访时(24周)采用AOFAS踝-后足评分标准评价三组患者的踝关节功能;整理临床资料,建立数据库,用SPSS18.0软件统计分析,得出结论。结果1.试验组与对照组患者临床愈合时间有明显差异(P0.05);2.试验组与对照组在平均手术时间、术中出血量、术后并发症方面的比较,通过统计学分析,有明显差异(P0.05)。3.末次随访足踝部功能按AOFAS功能评分标准显示:试验组足踝功能恢复优良率89.47%,对照组优良率75.01%,中药组优良率为57.14%,经统计学分析三组患者治疗后足踝关节功能恢复的优良率,差异有统计学意义(P0.05),试验组术后优良率高于对照组、中药组。结论1.经皮双螺钉交叉固定技术在恢复患者足踝关节功能方面优于其他两组;2.经皮双螺钉交叉固定技术治疗距下关节炎有一定的优势。
[Abstract]:Objective to study the clinical application of Fangshenggu Yin in the treatment of subtalar arthritis by means of percutaneous double screw cross fixation and bone graft fusion, so as to explore the advantages of percutaneous double screw cross fixation in the treatment of subtalar arthritis.To provide a reliable clinical basis for the treatment of subtalar arthritis.Methods A randomized controlled study was used.Patients were divided into two groups according to the principle of random grouping. The experimental group was treated with percutaneous double-screw cross-fixation technique, the control group was treated with traditional posterolateral "L" incision bone graft fusion technique, and the traditional Chinese medicine group was treated conservatively.The X-ray films of patients in observation group, control group and traditional Chinese medicine group were recorded and analyzed before and after treatment.The clinical healing time of the patients in the test group and the control group was recorded and analyzed, and the operation time, the amount of intraoperative bleeding and the postoperative complications of the patients in the test group and the control group were observed at the same time.The ankle function of the three groups was evaluated by AOFAS ankle-hind foot scoring standard, clinical data were arranged, database was established, and statistical analysis was made by SPSS18.0 software.Result 1.There was a significant difference in clinical healing time between the test group and the control group (P 0.05).The average operation time, intraoperative bleeding volume and postoperative complications were compared between the experimental group and the control group. There was a significant difference between the two groups by statistical analysis.According to the AOFAS score, the excellent and good rate of ankle function recovery was 89.47 in the test group, 75.01 in the control group and 57.14 in the traditional Chinese medicine group. After statistical analysis, the excellent and good rate of the ankle joint function recovery in the three groups was statistically analyzed.The difference was statistically significant (P 0.05). The excellent and good rate in the experimental group was higher than that in the control group.Conclusion 1.The percutaneous double screw cross fixation technique was superior to the other two groups in the recovery of ankle joint function.Percutaneous double screw cross fixation technique has some advantages in the treatment of subtalar arthritis.
【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】：2017
【分类号】：R687.4

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