关节镜镜检下的牵引复位手术与传统开囊复位手术治疗外侧或单侧胫骨平台骨折的对比研究

发布时间：2018-08-30 09:42

【摘要】：目的比较经关节镜镜检下的胫骨平台手术与开囊复位手术的治疗效果及术后恢复。方法选自2013年8月-2014年4月该院接受治疗的胫骨平台骨折的患者78例,据随机数字表法随机分为A组和B组,每组患者各39例。A组采用关节镜下牵引复位手术治疗,B组采用传统开囊复位手术。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 A组手术时间短于B组,术中及术后出血量少于B组,伤口损伤面积少于B组,伤口愈合时间快于B组,HSS评分高于B组,差异均有统计学意义(P0.05);两组随访时间比较差异无统计学意义(P0.05);A组术后并发症发生率低于B组,差异有统计学意义(P0.05)。结论两种治疗方法都能达到良好的临床效果,但经关节镜镜检的胫骨平台骨折具有手术时间短、术中出血量少、愈合时间短、并发症发生较少和HSS评分较高等优点,减少患者痛苦,提高患者治疗。
[Abstract]:Objective to compare the therapeutic effects and postoperative recovery of arthroscopic tibial plateau surgery and open reduction surgery. Methods from August 2013 to April 2014, 78 patients with tibial plateau fractures were randomly divided into two groups: group A and group B. Each group (39 cases) was treated by arthroscopic traction reduction. Group B was treated with traditional open reduction. 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 the time of operation in group A was shorter than that in group B, the amount of blood lost during and after operation in group A was less than that in group B, the area of wound injury in group A was less than that in group B, and the wound healing time in group A was faster than that in group B (HSS score) higher than that in group B. The difference was statistically significant (P0.05); there was no significant difference in follow-up time between the two groups (P0.05). The incidence of postoperative complications in group A was lower than that in group B (P0.05). Conclusion both methods can achieve good clinical effect, but the fracture of tibial plateau examined by arthroscopy has the advantages of short operative time, less intraoperative bleeding, shorter healing time, less complications and higher HSS score. Reduce the pain of patients, improve the treatment of patients.
【作者单位】：武警浙江省总队嘉兴医院骨三科;
【分类号】：R687.3

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