摘要
目的胫骨骨折患者分别通过髓内钉膑上入路方法和经膑韧带入路方法进行治疗,比较两种治疗方法的临床治疗效果。方法选取重庆市彭水县人民医院2019年4月至2020年4月收治的胫骨骨折患者60例为研究对象,根据治疗方法的不同分为观察组和对照组,各30例。将通过髓内钉经膑韧带入路进行治疗的患者纳入对照组,将通过髓内钉膑上入路进行治疗的患者纳入观察组,比较两组患者的膝关节功能的恢复优良率以及并发症的发生概率。结果观察组患者的膝关节功能恢复优良率为90.00%(27/30),对照组患者的膝关节功能恢复优良率为43.33%(13/30),组间差异有统计学意义(P<0.05)。观察组患者的并发症发生概率为6.66%(2/30),关节僵直有1例,伤口感染有1例,对照组患者的并发症发生概率为23.33%(7/30),其中创伤性关节炎3例,关节僵直2例,伤口感染2例,组间差异有统计学意义(P<0.05)。结论胫骨骨折的发病率较高,通过髓内钉膑上入路方法进行治疗,可以提高膝关节功能的恢复效果,治疗效果显著。
Objective To compare the clinical effects of patients with tibial fractures treated by means of intramedullary nail approach and kneecap ligament approach respectively.Methods This study selected 60 patients with tibial fractures admitted to People's Hospital of Pengshui County from April 2019 to April 2020.The were randomly selected as the research objects,and the treatment methods were divided into groups.The two groups were respectively divided observed group and control group,30 cases each.Patients who were treated through the intramedullary nail through the patella approach were included in the control group,and patients who were treated through the intramedullary nail through the patella approach were included in the observation group.The excellent and good rates of knee joint function recovery of the two groups and complications were compared.Results The excellent and good rate of knee joint functional recovery in the observation group was 90.00%(27/30),while the excellent and good rate of knee joint functional recovery in the control group was 43.33%(13/30),with statistically significant difference between groups(P<0.05).The incidence of complications in the observation group was 6.66%(2/30),including 1 case of joint stiffness and 1 case of wound infection,while the incidence of complications in the control group was 23.33%(7/30),including 3 cases of traumatic arthritis,2 cases of joint stiffness and 2 cases of wound infection,with statistically significant difference between the two groups(P<0.05).Conclusion The incidence of tibial fracture is high,and the treatment with the approach of intramedullary nail kneecap can improve the recovery effect of knee joint function,and the treatment effect is remarkable.
作者
田勇
TIAN Yong(People's Hospital of Pengshui County,Chongqing 409699,China)
出处
《大医生》
2020年第16期38-40,共3页
Doctor
关键词
髓内钉膑上入路
经膑韧带入路
胫骨骨折
intramedullary nailing approach
approach by means of patella ligaments
tibial fracture
