微创手术治疗三踝骨折分析.docVIP

微创手术治疗三踝骨折分析 　　【摘要】 目的：探讨微创手术治疗三踝骨折的临床效果。方法：选择2013年1月-2014年1月在笔者所在医院进行治疗的52例三踝骨折患者，随机进行分组，分为对照组和试验组，其中试验组患者21例，对照组患者31例，试验组患者采用微创手术进行治疗，对照组患者采用传统切开复位内固定术进行治疗。观察比较两组患者的术后肿胀程度和踝关节功能评价。结果：试验组患者的肿胀程度较对照组患者明显降低，差异有统计学意义（P0.05）；试验组患者踝关节功能恢复情况较对照组患者明显提高，差异有统计学意义（P0.05）。结论：针对三踝骨折患者给予微创手术可显著提高治疗效果，促进踝关节功能恢复，降低并发症发生，减轻患者痛苦。微创手术对三踝骨折具有十分重要的临床意义，值得推广应用。 　　【关键词】 微创手术； 三踝骨折； 临床效果 　　中图分类号 R683.42 文献标识码 B 文章编号 1674-6805（2014）22-0019-02 　　Analysis of Trimalleolar Fractures Treated with Minimally Invasive Surgery/HUANG Le-hui，LIU Na-na，CHEN Yu-ting.//Chinese and Foreign Medical Research，2014，12（22）：19-20 　　【Abstract】 Objective：To investigate the clinical effect of trimalleolar fractures treated with minimally invasive surgery.Method：From January 2013 to January 2014 in our hospital for treatment of 52 patients with trimalleolar fractures，they were randomly divided into control group（n=31） and experimental group（n=21），the experimental group was treated by minimally invasive surgery，the control group was treated by traditional open reduction and internal fixation.The postoperative swelling degree and ankle function evaluation of two groups were compared. Result：The degree of swelling in the experimental group compared with the control group was significantly lower，with a significant difference（P0.05）.The ankle functional recovery of the experimental group compared with the control group significantly improved，with a significant difference（P0.05）.Conclusion：Trimalleolar fractures treated with minimally invasive surgery can significantly improve the treatment effect，promote the ankle joint functional recovery，reduce complications，reduce the patient’s pain.Minimally invasive surgery has important clinical significance for trimalleolar fractures，is worthy of popularization and application. 　　【Key words】 Minimally invasive surgery； Trimalleolar fractures； Clinical results 　　First-author’s address：Henggang People’s Hospital of Shenzhen City，Shenzhen 518115，China 　　踝关节骨折分为单踝骨折、双踝骨折、三