关节镜下胫骨平台手术与传统手术的治疗效果及术后恢复情况研究

发布时间：2018-08-15 18:54

【摘要】：目的比较经关节镜检查下的胫骨平台手术与传统手术的治疗效果及术后恢复情况。方法采用回顾性分析的方法,选取2012年1月-2015年1月山东省淄博市第一医院接受治疗的胫骨平台骨折的患者178例,根据不同的治疗方法分为两组,其中采用关节镜检查下的胫骨平台手术(关节镜组)99例,采用传统手术治疗(对照组)79例。比较两组的手术时间,术中出血量,愈合时间以及术后切口并发症;根据美国特种外科医院(HSS)评分标准对术后膝关节功能评分。结果与对照组相比,关节镜组术中及术后出血量较少,差异均具有统计学意义(P0.05),手术时间与对照组相比差异无统计学意义。对患者进行18~24个月随访,关节镜组的HSS评分更高,术后伤口愈合时间更短,并发症发生的情况更少,差异均具有统计学意义(P0.05)。结论两种治疗方法都能达到良好的临床效果,但经关节镜检查的胫骨平台骨折术中出血量少,未增加患者手术时间,愈合时间短,并发症发生较少,HSS评分较高,能够减少患者痛苦,提高患者治疗。
[Abstract]:Objective to compare the effect and recovery of arthroscopic tibial plateau operation and traditional operation. Methods 178 cases of tibial plateau fractures treated in the first Hospital of Zibo City, Shandong Province from January 2012 to January 2015 were selected and divided into two groups according to different treatment methods. There were 99 cases of tibial plateau operation (arthroscopic group) and 79 cases of traditional operation (control group). The operative time, intraoperative bleeding, healing time and postoperative incision complications were compared between the two groups, and the knee joint function was evaluated according to the (HSS) score of American Special surgery Hospital. Results compared with the control group, the amount of intraoperative and postoperative bleeding in arthroscopic group was less, the difference was statistically significant (P0.05), and the operative time had no statistical significance compared with the control group. The patients were followed up for 18-24 months. The HSS score of arthroscopic group was higher, the wound healing time was shorter and the complications were less. The difference was statistically significant (P0.05). Conclusion both methods can achieve good clinical results, but the intraoperative bleeding of the tibial plateau fractures examined by arthroscopy is less, the operative time is not increased, the healing time is short, the complications are less and the HSS score is higher. Can reduce patient suffering, improve patient treatment.
【作者单位】：山东省淄博市第一医院骨二科;山东省东营市胜利油田医院骨科;
【分类号】：R687.4

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