经皮撬拨复位克氏针内固定治疗Sanders Ⅱ型、Ⅲ型跟骨骨折的临床疗效研究.docVIP

经皮撬拨复位克氏针内固定治疗Sanders Ⅱ型、Ⅲ型跟骨骨折的临床疗效研究 　　[摘要] 目的 研究Sanders Ⅱ型、Ⅲ型跟骨骨折患者使用经皮撬拨复位与切开复位钢板内固定两种手术方法的治疗效果，对比两种方法临床效果及优点。方法 方便选取90例该院2012年7月―2015年7月期间骨科收治的Sanders Ⅱ型、Ⅲ型跟骨骨折患者。将所有患者随机分为两组各45例，其中45例患者使用经皮撬拨复位进行治疗作为观察组，另45例患者使用切开复位钢板内固定进行治疗作为对照组。治疗后对两组患者进行随访观察，对比两组患者治疗效果。结果 愈合情况包括Maryland足部评分、治疗优良率、Bohler角、Gissane角以及跟骨中部宽度差异无统计学意义（P0.05）；而在术中情况发现，观察组手术时间、出血量、住院时间、费用、伤口愈合时间分别为（64.28±9.83）min、（23.41±5.37）mL、（6.32±1.21）d、（0.71±0.02）万元、（5.48±2.41）d，而对照组对应指标分别为（98.62±12.59）min、（68.53±9.64）mL、（11.68±1.64）d、（1.28±0.04）万元、（11.82±3.46）d，观察组手术时间、出血量、住院时间、费用、伤口愈合时间均好于对照组（P0.05）。 结论 经皮撬拨复位与切开复位钢板内固定在治疗效果中相同。但由于费用及时间等差异，经皮撬拨复位治疗更为科学，值得临床应用及推广。 　　[关键词] 跟骨骨折；撬拨复位；钢板内固定；临床效果 　　[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-0742（2016）04（c）-0188-03 　　[Abstract] Objective To research the effect of the two operation methods including percutaneous prying reset internal fixation and open reduction and plate internal fixation， and the clinical effects and advantages of the two methods were compared. Methods 90 cases of patients with SandersⅡand Ⅲ type calcaneal fracture admitted and treated in the department of orthopaedics of our hospital from July 2012 to July 2015 were selected and randomly divided into two groups with 45 cases in each， the observation group were treated with percutaneous prying reset ， the control group were treated with open reduction and plate internal fixation， and both groups were followed up and observed after treatment， and the treatment effects were compared between the two groups. Results There was no difference in the post healing conditions including Maryland foot score， excellent and good rate of treatment， Bohler angle， Gissane angel and calcaneal central width（P0.05）， however， the intraoperative conditions discovered that the operation time， blood loss， length of stay， expense and incision healing time in the observation group were better than those in the control group，[（64.28±9.83） min，（23.41±5.37） mL，（6.32±1.21） d， （7100±200） yuan， （5.48±2.41） d vs （98.62±12.59） m