摘要
目的研究经跗骨窦入路治疗骨骨折的临床效果。方法选取2013年1月～2018年6月九江学院附属医院骨科收治40例跟骨骨折患者,按照随机分组方法分为观察组(20例)与对照组(20例)。观察组采用经跗骨窦入路治疗,对照组采用常规方式治疗。比较两组患者治疗后的总有效率、并发症发生率、住院时间和手术时间、出血量、切口感染发生率、骨折畸形愈合发生率。结果两组患者的总有效率比较,差异无统计学意义(P>0.05);观察组患者的并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者的住院时间[(6.01±2.01)d]和手术时间[(48.01±7.25)min]均短于对照组[(10.11±3.57)d、(66.11±8.27)min],出血量[(102.15±2.11)ml]少于对照组[(150.23±2.45)ml],差异有统计学意义(P<0.05)。观察组患者的切口感染发生率低于对照组,差异有统计学意义(P<0.05);两组患者的骨折愈合畸形发生率比较,差异无统计学意义(P>0.05)。结论经跗骨窦入路治疗跟骨骨折取得显著效果,能降低并发症发生率,减少手术出血量,缩短患者的手术时间和住院时间,促进患者早期康复。
Objective To study the clinical effect of trans tarsal sinus approach treating calcaneal fracture.Methods From January2013to June2018,40patients with calcaneal fracture treated by Department of Orthopedics in Affiliated Hospital of Jiujiang University were selected and they were divided into the observation group(20cases)and control group(20cases)according to the stochastic grouping method.The observation group was given trans tarsal sinus approach treatment,while the control group was given conventional ways.The total effective rate,incidence of complications,hospital stay and operation time,the amount of bleeding,incidence of incision infection,incidence,the incidence of fracture malunion after treatment in patients between the two groups were compared.Results There was no statistically significant difference in the total effective rate between the two groups(P>0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The hospital stay([6.01±2.01]d)and operation time([48.01±7.25]min of the patients in the observation group were shorter than those in the control group([10.11±3.57]d and[66.11±8.27]min),and the amount of bleeding([102.15±2.11]ml)was less than that in the control group([150.23±2.45]ml),and the differences were statistically significant(P<0.05).The incidence of incision infection in the observation group wsas lower than that in the control group,and the difference was statistically significant(P<0.05).The incidence of fracture malunion in the two groups was not statistically significant(P>0.05).Conclusion Trans tarsal sinus approach treating calcaneal fracture has achieved remarkable effects and it can reduce the incidence of complications,reduce the amount of bleeding,shorten the operation time and hospital stay,and promote the early recovery of patients.
作者
万军
桑昌敏
张景业
赵斌
WAN Jun;SANG Chang-min;ZHANG Jing-ye;ZHAO Bin(Department of Orthopedics, Affiliated Hospital of Jiujiang University, Jiangxi Province, Jiujiang 332000, China)
出处
《中国当代医药》
2018年第33期89-91,共3页
China Modern Medicine
基金
江西省卫生计生委科技计划课题(20177151)
关键词
经跗骨窦入路
跟骨骨折
临床效果
Trans tarsal sinus approach
Calcaneal fracture
Clinical effect
