闭合穿针治疗老年胫腓骨远端骨折的疗效观察.docVIP

精品论文 参考文献 闭合穿针治疗老年胫腓骨远端骨折的疗效观察 湖南医药学院第一附属医院创伤外科 湖南怀化 418000 【摘 要】目的：探讨闭合穿针治疗老年胫腓骨远端骨折的疗效。方法：选取86例老年胫腓骨远端骨折患者作为研究对象，随机进行分组；观察组采取闭合穿针治疗，对照组采取切开复位内固定治疗；对比两组患者治疗前后生活质量和踝关节评分，综合评价患者的骨折愈合质量，并作对比分析。结果：治疗前，两组患者的生活质量评分、踝关节功能、疼痛、步态、活动度评分差异无统计学意义（P＞0.05）；治疗后，观察组患者的生活质量评分、踝关节功能、疼痛、步态、活动度评分明显高于对照组，差异具有统计学意义（P＜0.05）；观察组骨折愈合优良率为88.37%，大于对照组的62.79%，经chi;2检验，差异具有统计学意义（P＜0.05）。结论：闭合穿针治疗老年胫腓骨远端骨折的疗???确切，可明显提高骨折愈合质量，对于改善生活质量和踝关节功能具有积极作用。 【关键词】胫腓骨远端骨折；闭合穿针；疗效 Efficacy closed pinning the treatment of senile fracture of distal tibia and fibula ZhangRenming ZhangKeyun ZhuJian TianKeliang LiuJun QuZhe Medical school first affiliated hospital of hunan trauma surgery Huaihua city，hunan province 418000 [Abstract] Objective：To investigate the treatment of elderly closure needle distal tibia and fibula fractures.Methods：86 cases of distal tibia and fibula fractures in elderly patients as research subjects were randomly grouped；observation group has a closed needle treatment，the control group received open reduction and internal fixation；compared two groups of patients before and after treatment and quality of life score ankle comprehensive evaluation of the patients quality of fracture healing，and for comparative analysis.Results：Before treatment，the two groups of patients quality of life ratings，ankle joint function，pain，gait，activity score was no significant difference（Pgt;0.05）；After treatment，patients observed quality of life scores，ankle，pain，gait，activity scores were significantly higher，the difference was statistically significant（Plt;0.05）；the observation group was 88.37% superior fracture healing，greater than 62.79% in the control group，the chi;2 test，the difference was statistically significance（Plt;0.05）.Conclusion：Closed pinning the treatment of senile distal tibia and fibula fracture efficacy，can significantly improve the quality of fracture healing，for improving the quality of life and ankle function has a positive effect. Keywords：fracture of distal tibia and fibula；clo