摘要
目的探究旋后外旋型Ⅲ、Ⅳ度踝关节骨折患者通过切开复位内固定与手法复位石膏托外固定治疗后取得的临床成效。方法选取我院2015年1月~2016年6月入院的旋后外旋型Ⅲ、Ⅳ度踝关节骨折患者80例,通过随机分组法分为手术组和手法组,每组40例。手术组治疗方法为切开复位内固定治疗,手法组为手法复位石膏托外固定治疗。结果在Ⅲ、Ⅳ度踝关节骨折患者优良率方面,手术组优良率分别为100%、100%,手法组分别为66.7%、78.9%,手术组明显优于手法组(P<0.05)。手术组患者生存质量,包括生理症状、躯体症状、睡眠状况及心理症状指标得分均明显优于手法组(P<0.05)。手术组治疗满意度(100%)明显比手法组(80%)高。结论旋后外旋型Ⅲ、Ⅳ度踝关节骨折患者通过切开复位内固定与手法复位石膏托外固定治疗后取得的临床成效均较显著,但与手法复位石膏托外固定相比,切开复位内固定治疗后,患者优良率和治疗满意度均明显增高,且患者生存质量状况明显改善。
Objective To investigate the clinical efficacy of external fixation and external fixation in patients with ankle joint fracture and external fixation. Methods 80 patients with ankle fractures were randomly divided into two groups： operation group （n=40） and manipulation group （n=40）. Patients in operation group were treated with open reduction and internal fixation. Patients in manipulation group were treated with external fixation. Results The excellent and good rate of patients with fracture of ankle in Ⅲ , Ⅳ degree in operation group were 100% and 100%,which were 66.7% and 78.9% in manipulation group respectively.The operation group was superior to the manipulation group（P 〈 0.05）.The quality of life of patients in the operation group,including physical symptoms, physical symptoms,sleep status and psychological symptoms were significantly better than those in the manipulation group（P 〈 0.05）.The satisfaction rate of operation group（100%） was significantly higher than that of manipulation group（80%）. Conclusion The clinical results of external fixation and reduction of plaster and external fixation in patients with ankle joint fractures of type Ⅲ and IV were significantly higher than those in the treatment of plaster cast after the reduction and internal fixation,the patients＇ excellent rate and treatment satisfaction were significantly increased, and the quality of life of patients improved significantly.
出处
《中国医药科学》
2017年第16期232-234,共3页
China Medicine And Pharmacy
关键词
切开复位内固定
手法复位石膏托外固定
旋后外旋型Ⅲ、Ⅳ度踝关节骨折
Open reduction and internal fixation
Manipulative reduction and plaster external fixation
Supinationand external rotation type to Ⅲ or Ⅳ degree
