摘要
目的探讨经皮微创钛缆内固定治疗髌骨骨折的效果及对患者应激反应、骨代谢指标的影响。方法选取我院自2018年1月至2020年1月收治的77例髌骨骨折患者,按照术式的不同分为对照组38例、观察组39例。对照组给予传统切开复位术治疗,观察组给予经皮微创钛缆内固定术治疗,比较两组一般手术指标、并发症、应激反应指标、骨代谢指标。结果观察组手术时间、出血量、术后住院时间、骨折愈合时间少于对照组(P<0.05);观察组并发症总发生率为12.82%,低于对照组的34.21%(P<0.05);观察组膝关节功能评分在术后15 d[(65.21±5.97)分vs(56.47±6.23)分]、术后1个月[(70.28±4.96)分vs(61.65±5.17)分]、术后3个月[(82.68±3.25)分vs(77.62±4.02)分]时高于对照组(P<0.05);术后24 h,观察组血清Cor[(13.82±2.02)ng/mL vs(21.36±3.79)ng/mL]、PGE2[(131.25±17.64)pg/mL vs(162.49±21.05)pg/mL]、E[(35.02±6.37)ng/mL vs(60.63±7.59)ng/mL]、NE[(45.65±5.22)ng/mL vs(76.94±7.06)ng/mL]水平低于对照组(P<0.05);术后24 h,观察组血清OC[(6.30±0.74)μg/L vs(5.28±0.71)μg/L]、PⅠNP[(38.52±6.09)ng/mL vs(23.19±3.57)ng/mL]水平高于对照组(P<0.05),CTX-Ⅰ[(312.07±50.36)pg/mL vs(558.39±62.98)pg/mL]、CTX-Ⅱ[(211.45±32.18)pg/mL vs(342.62±40.92)pg/mL]水平低于对照组(P<0.05)。结论经皮微创钛缆内固定治疗髌骨骨折创伤小,术后并发症少,可明显改善膝关节功能,减轻应激反应,改善术后骨代谢。
Objective To investigate the effect of percutaneous minimally invasive titanium cable internal fixation in the treatment of patella fractures and its influence on patients′stress response and bone metabolism indexes.Methods A total of 77 patients with patella fractures admitted to our hospital from January 2018 to January 2020 were selected and divided into the control group(38 cases)and the observation group(39 cases)according to different surgical procedures.The control group was treated with traditional open reduction,and the observation group was treated with percutaneous minimally invasive titanium cable internal fixation.The general surgical indicators,complications,stress response indicators,and bone metabolism indicators between the two groups were compared.Results The operation time,blood loss,postoperative hospital stay,and fracture healing time in the observation group were less than those in the control group(P<0.05).The total incidence of complications in the observation group was 12.82%,which was lower than 34.21%in the control group(P<0.05).The knee joint function scores of the observation group at 15 days,one month,and three months after the operation were higher than those of the control group([65.21±5.97]points vs[56.47±6.23]points,[70.28±4.96]points vs[61.65±5.17]points,[82.68±3.25]points vs[77.62±4.02]points)(P<0.05).24 h after operation,the serum Cor([13.82±2.02]ng/mL vs[21.36±3.79]ng/mL),PGE2([131.25±17.64]pg/mL vs[162.49±21.05]pg/mL),E([35.02±6.37]ng/mL vs[60.63±7.59]ng/mL),NE([45.65±5.22]ng/mL vs[76.94±7.06]ng/mL)levels in the observation group were lower than those of the control group(P<0.05).The serum OC([6.30±0.74]μg/L vs[5.28±0.71]μg/L),PⅠNP([38.52±6.09]ng/mL vs[23.19±3.57]ng/mL)of the observation group were higher than those of the control group(P<0.05).The CTX-Ⅰ([312.07±50.36]pg/mL vs[558.39±62.98]pg/mL),CTX-Ⅱ([211.45±32.18]pg/mL vs[342.62±40.92]pg/mL)of the observation group were lower than those of the control group(P<0.05).Conclusion Percutaneous m
作者
王昶
WANG Chang(Department of Orthopedics,the 963rd Hospital of the Joint Service Support Force of the Chinese People′s Liberation Army,Jiamusi 154002,China)
出处
《中国现代医生》
2021年第9期10-13,共4页
China Modern Doctor
关键词
经皮微创钛缆内固定
髌骨骨折
膝关节功能
应激反应
骨代谢
Percutaneous minimally invasive titanium cable internal fixation
Patella fracture
Knee joint function
Stress response
Bone metabolism
