保守疗法与手术疗法治疗旋后外旋型踝关节骨折的效果对比分析.docVIP

保守疗法与手术疗法治疗旋后外旋型踝关节骨折的效果对比分析 　　[摘要] 目的 比较保守疗法及手术疗法治疗旋后外旋型踝关节骨折的临床疗效。 方法 本研究中共包括86例旋后外旋型踝关节骨折患者，均为2013年1月～2016年3月期间我院收治的病例，将其按治疗方法分为两组，每组43例，研究组采用保守治疗，即实施手法复位联合石膏外固定，对照组采用手术治疗，即实施切开复位内固定术，对比两组患者影像学评价优良率、住院时间、骨折愈合时间、关节功能恢复时间。 结果 研究组Ⅱ度损伤患者的优良率与对照组比较，差异无统计学意义（P0.05）；研究组Ⅲ度损伤、Ⅳ度损伤优良率与对照组比较较低，差异有统计学意义（P0.05）。研究组的住院时间、关节功能恢复时间与对照组比较更短，两组差异有统计学意义（P0.05）。 结论 Ⅱ度损伤患者采用保守治疗及手术疗法均可有效治疗旋后外旋型踝关节骨折，在条件允许的情况下可优先考虑保守治疗，Ⅲ度损伤、Ⅳ度损伤的患者，手术治疗的效果更好。 　　[关键词] 踝关节骨折；旋后外旋型；手术疗法；保守疗法 　　[中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701（2016）25-0058-03 　　Comparative analysis of effects of conservative therapy and surgical therapy in the treatment of supination-eversion fractures of ankle 　　GUO Fei 　　Department of No.3 Orthopedics， Benxi First Peoples Hospital in Liaoning Province， Benxi 117002， China 　　[Abstract] Objective To compare and analyze the clinical curative effects of conservative therapy and surgical therapy in the treatment of supination-eversion fractures of ankle. Methods A total of 86 patients with supination-eversion fractures of ankle were included in the study. They were all admitted to our hospital from January 2013 to March 2016， and were assigned to two groups according to their treatment methods， with 43 patients in each group. The research group was given conservative therapy， namely manual reduction combined with plaster external fixation， and the control group was given surgical therapy， namely open reduction and internal fixation. Good rate of radiological evaluation， length of stay， recovery time of fractures and recovery time of joint functions were compared between the two groups of patients. Results The good rate in the patients with degree Ⅱ injury in the research group was compared with that in the control group， and the difference was not statistically significant（P0.05）； the good rate of degree Ⅲ injury and degree Ⅳ injury in the research group was lower than that in the control group， and the differences between the two groups were statistically significant（P