摘要
目的探讨针对军人踝关节损伤的临床治疗方案。方法回顾分析作者医院2008年1月~2011年3月收治的男性军人踝关节损伤196例,统计分析其具体的临床损伤类型,并评估不同损伤类型治疗后的疗效。结果纳入本研究的军人踝关节损伤以韧带损伤为主（153例,78%）,其次是踝关节骨折损伤（43例22%）。在韧带损伤组中,以单纯外侧副韧带损伤、侧副韧带合并下胫腓韧带损伤和单纯内侧副韧带损伤为主;在踝关节骨折损伤组中,骨折类型以内翻内收型、外翻外展型、外旋型和直接暴力型为主。经综合治疗后,随访12个月后发现,韧带损伤组：治疗优良150例（98%）、治疗尚可3例（2%）,踝关节骨折损伤组：治疗优良37例（86%）、治疗尚可6例（14%）。结论韧带损伤是削弱我军战斗力的主要影响因素之一。针对军人踝关节损伤的综合治疗是安全、有效的治疗方式。
Objective To investigate the clinical treatment regimen for ankle injuries in soldiers.Methods Retrospective analysis of 196 male soldiers with ankle injuries treated in our hospital from Jan 2008 to March 2011 was conducted to find out the specific clinical injury types and evaluate the outcome after treatment.Results A total of 153（78%） soldiers involved in the study had ligament injury and 43（22%） had ankle fracture.The ligament injury group mainly included injury of lateral collateral ligament,injury of lateral collateral ligament combined with inferior tibiofibular ligament and injury of medial collateral ligament.The fractures were mainly inversion-abducted,eversion-abducted,extorsion and direct violence-based patterns in the ankle fracture group.All the patients received comprehensive treatment and the follow-up for 12 months,and the results revealed that 150 patients（98%） recovered completely and 3 patients（2%） recovered partially in the ligament injury group.The rates were 86%（n=37） and 14%（n=6） respectively in the ankle fracture group.Conclusion Ligament injury is a major factor to weaken combat effectiveness of soldiers.Comprehensive treatment is safe and effective modality for soldiers′ ankle injures.
出处
《实用临床医药杂志》
CAS
2012年第5期110-112,共3页
Journal of Clinical Medicine in Practice
关键词
登陆作战
踝关节损伤
临床治疗
landing operation
ankle injury
clinical treatment
