摘要
目的探讨不同治疗方式在旋后外旋型踝关节骨折中的应用。方法选择我院收治的旋后外旋型踝关节骨折患者60例,根据治疗方式不同分为切开复位内固定的B组以及手法复位A组,每组30例。对比2组患者Mazur评分、Leed评分及并发症发生情况。结果 B组患者X线片评价为优的比例为70.00%高于A组的36.67%,差异有统计学意义(P<0.05),B组患者踝关节功能及症状评价为优的患者比例为83.33%高于A组的50.00%,差异有统计学意义(P<0.05),并且两组患者并发症发生情况差异无统计学意义(P>0.05)。结论手术治疗及保守治疗对旋后外旋型踝关节骨折均有治疗效果,临床应该根据患者情况选择治疗方案。
Objective To evaluate clinical effect of conservative therapy and operative therapy in the treatment of supination-eversion ankle fracture. Methods 60 patients with supination-eversion fracture at ankle who were in our hospital were divided into group A and group B according to the therapies,30 cases in each group.Group A received the manipulative reduction therapy,while group B received the open reduction and internal fixation（ORIF） therapy.The Mazur scores,Leed scores,and complication incidences of the two groups were compared. Results The proportion of patient with an excellent X-ray film in group B was 70.00%,which was higher than the 36.67% of group A,the difference was statistically significant（P 0.05）.The proportion of patient with excellent ankle function and symptom assessment in group B was 83.33%,which was higher than the 50.00% of group A,the difference was statistically significant（P 0.05）. There was no statistical significance between the two groups＇ incidences of complications（P 0.05）. Conclusion Conservative therapy and operative therapy are both effective in the treatment of supinationeversion ankle fracture, which should be selected according to the situation of patient in the clinical practice.
出处
《中国医药科学》
2016年第4期163-165,175,共4页
China Medicine And Pharmacy
关键词
外旋型踝关节骨折
手术
保守治疗
Supination-eversion ankle fracture
Operation
Conservative therapy
