摘要
目的探讨小切口与"L"形切口治疗跟骨骨折的有效性及安全性。方法跟骨骨折患者64例,按照微创小切口和传统"L"形切口分为观察组34例和对照组30例,对比两组手术时间、术中出血量、切口长度、拆线时间、Bohler和Gissane角等恢复程度,同时对远期功能评分和并发症进行比较。结果观察组手术时间为(69.7±9.4)min,低于对照组的(86.2±10.3)min,差异具有统计学意义(P<0.05)。观察组术中出血量、切口长度和拆线时间分别为(124.6±12.4)m L、(4.8±1.2)cm和(12.1±1.8)d,均低于对照组的(260.4±34.7)m L、(13.2±2.6)cm和(14.6±2.3)d,差异均具有统计学意义(P<0.05)。跟骨形态恢复方面,观察组术后Bohler角为(28.6±8.4)°、Gissane角为(119.5±5.1)°,对照组分别为(29.4±6.8)°、(117.6±6.2)°,差异无统计学意义(P>0.05)。功能恢复方面,观察组AOFAS评分(87.5±8.1)明显高于对照组(73.5±7.6),差异具有统计学意义(P<0.05)。观察组并发症发生率2.94%(1/34),低于对照组12.33%(4/30),差异无统计学意义(P>0.005)。结论微创小切口治疗跟骨骨折安全、有效,值得临床推广应用。
Objective To investigate the efficacy and safety of mini-incision and L-shaped incision in the treatment of calcaneal fracture.Methods Of 64 patients with calcaneal fracture,34 patients receiving treatment with minimally invasive incision were enrolled as observation group,and 30 patients with traditional L-shaped incision as control group.The operation duration,intraoperative blood loss,the length of incision,duration for stitches removal,the recovery degrees of Bohler and Gissane angles,long-term function score and incidence of complications were compared between the two groups.Results The operation duration of the observation group was shorter than that of the control group [（69.7 ± 9.4） min vs.（86.2 ± 10.3） min,P〈0.05].The intraoperative blood loss,the length of incision,duration for stitches removal in the observation group[（124.6 ± 12.4） mL,（4.8 ± 1.2） cm and （12.1 ± 1.8） d,respectively] were less or shorter than those in the control group [ （260.4 ± 34.7） mL,（13.2 ± 2.6） cm and （14.6 ± 2.3） d,respectively] （P〈0.05）.There were no significant differences in Bohler and Gissane angles between the observation group [ （28.6 ± 8.4） ° and （119.5 ± 5.1）° respectively]and the control group [（29.4 ± 6.8） °and （117.6 ± 6.2） ° respectively,P〈0.05].The AOFAS score of the observation group was higher than the score of the control group [（87.5 ± 8.1） vs （73.5 ± 7.6）,P〈0.05].The incident rate of the observation group was lower than that of the control group [2.4% （1/34） vs 12.7% （4/30）,P〈0.05].Conclusion Minimally invasive incision is safe and effective in the treatment of calcaneal fractures.It is worthy to be clinical widely romotion.
出处
《微创医学》
2017年第5期641-644,共4页
Journal of Minimally Invasive Medicine
关键词
跟骨骨折
微创切口
L形切口
Calcaneal fracture
Minimally invasive incision
L-shaped incision
