急性跟腱断裂微创与传统修复方法的临床效果探讨.docVIP

急性跟腱断裂微创与传统修复方法的临床效果探讨 　　[摘要] 目的 探讨急性跟腱断裂患者行微创和传统修复方法临床效果。方法 整群选取该院2014年8月―2015年8月收治的急性跟腱断裂90例患者临床资料进行回顾性分析，根据治疗时不同修复方案分成两组，将行传统修复方法38例患者设为对照组，将行微创修复方法52例患者设为观察组，对两组踝关节功能、疼痛状况与并发症情况进行对比。结果 观察组在两组治疗后AOFAS（92.45±7.20）分与VAS（1.20±0.14）分均改善基础上，其改善幅度更显著（P中国论文网 /6/view-7248822.htm 　　[关键词] 急性跟腱断裂；传统；微创；效果 　　[中图分类号] R686 [文献标识码] A [文章编号] 1674-0742（2015）12（c）-0009-03 　　Observation on the Clinical Effects of Minimally Invasive Repair and the Conventional Repair on Acute Achilles Tendon Rupture 　　WEN Shu-zheng， HAO Zeng-tao 　　Hand and Foot Surgery， The Second Affiliated Hospital of Inner Mongolia Medical University， Hohhot， Inner Mongolia Autonomous Region， 010058 China 　　[Abstract] Objective To observe the clinical effects of minimally invasive repair and the conventional repair on acute Achilles tendon rupture. Methods The clinical data of 90 patients with acute Achilles tendon rupture admitted in our hospital between August 2014 and August 2015 were reviewed. The patients were divided into two groups in accordance with the repair regimen， the 38 patients given conventional repair for treatment were taken as the control group， whereas the other 52 patients treated by minimally invasive repair were set as the observation group. The ankle function， degree of pain and incidence of complications in the two groups were compared. Results After treatment， the AOFAS and VAS were （92.45±7.20） points and （1.20±0.14） points in the observation group， respectively. The AOFAS and VAS improved in both groups after treatment， moreover， the improvement was much better in the observation group than that in the control group （P 　　1 资料与方法 　　1.1 一般资料 　　整群选取该院2014年8月―2015年8月收治的急性跟腱断裂90例来自住院部患者临床资料进行回顾性分析，所有患者于手术前均通过MRI、X线、超声检查确诊[2]。纳入自愿签署知情同意书与通过伦理委员会批准患者，且将存在麻醉、手术禁忌症患者与过敏史、运动功能性障碍、有陈旧跟腱断裂患者排除。根据治疗时不同修复方案分成对照组（38例）和观察组（52例），对照组男女比例30：8，年龄34～56岁，平均（44.25±1.10）岁，体质量52～79 kg，平均（71.68±8.62） kg，受伤时间1～6 d，平均（3.02±0.65） d，受伤原因：3例扭伤，5例行走踩空，30例运动损伤；观察组男女比例46：6，年龄33～56岁，平均（44.23±1.09）岁，体质量52～80 kg，平