摘要
目的:探讨手术治疗在移位跟骨关节内骨折中的应用及对生活质量的影响。方法:选取2014年1月-2016年12月入院治疗的移位跟骨关节内骨折患者120例,根据治疗方案不同分为对照组(n=60)和观察组(n=60)。对照组采用保守手法复位治疗,观察组采用切开复位内固定手术治疗,治疗后随访1年,比较两组治疗前后的Behler角、Gissan角、踝关节功能评分、生活质量评分及安全性。结果:治疗后1年,两组Behler角、Gissan角及踝关节功能评分均优于治疗前,且观察组均优于对照组,比较差异均有统计学意义(P<0.05);治疗后1年,两组心理健康、心理状态、社会关系、周围环境、独立能力评分均高于治疗前,且观察组均高于对照组(P<0.05);治疗后1年,观察组并发症发生率为3.33%,低于对照组的16.67%(x^2=5.926,P=0.015)。结论:切开复位内固定手术治疗移位跟骨关节内骨折患者效果理想,有助于改善患者足踝骨功能,提高患者生活质量,值得推广应用。
Objective:To explore the application of surgical treatment in displaced intra-articular calcaneal fractures and its effect on quality of life.Method:A total of 120 patients with displaced intra-articular calcaneal fractures who were admitted to hospital from January 2014 to December 2016 were selected.According to different treatment regimens,they were divided into control group(n=60) and observation group(n=60),the control group was treated by conservative manual reduction,while observation group was treated by open reduction and internal fixation and followed up for 1 year after treatment.The Behler angle,Gissan angle,ankle joint function score,quality of life score before and after treatment and safety of two groups were compared.Result:After treatment 1 year,the Behler angle,Gissan angle and ankle joint function scores in two groups were superior to those of before treatment,and observation group were all better than those of control group,the differences were statistically significant(P〈0.05).After treatment 1 year,the scores of mental health,psychological state,social relationship,surrounding environment and independent ability in two groups were higher than those of before treatment,and observation group were all higher than those of control group(P〈0.05).After treatment 1 year,the incidence of complications in observation group was 3.33%,which was lower than 16.67% in control group( x^2=5.926,P=0.015).Conclusion:Open reduction and internal fixation for displaced intra-articular calcaneal fractures is ideal,which helps to improve ankle function and improve the quality of life of patients,it is worthy of popularization and application.
作者
张金刚
高洪达
宋思桐
刘大伟
胡海平
李爽
ZHANG Jin’gang;GAO Hongda;SONG Sitong(Jiamusi Central Hospital,Jiamusi 154000,China)
出处
《中国医学创新》
CAS
2018年第11期47-50,共4页
Medical Innovation of China
关键词
切开复位内固定手术
移位跟骨关节内骨折
足踝骨功能
生活质量
Open reduction and internal fixation
Displaced intra-articular calcaneal fracture
Ankle bone function
Quality of life