摘要
目的 分析膝关节镜引导下微创治疗胫骨平台骨折的效果.方法 选择接受膝关节镜引导下开展微创手术的胫骨平台骨折患者80例,按照就诊顺序将患者分成对照组及观察组,每组40例,分别施行传统开放手术＋内固定手术,以及膝关节镜引导下微创手术,分析两组患者治疗效果.结果 观察组手术持续时间、下床活动时间、术中出血量、术后骨折病灶引流量以及并发症发生率均优于对照组,差异均有统计学意义（t =2.360、3.141、4.106、3.232、7.439,均P＜0.05）;观察组术后关节功能恢复优良率以及生活质量评分均 、显著高于对照组,差异均有统计学意义（均P＜0.05）.结论 经膝关节镜引导下胫骨平台骨折的微创治疗效果较好,安全性较高,术后恢复情况良好.
Objective To analyze the effect of minimally invasive treatment of tibial plateau fractures guided by knee arthroscopy.Methods Eighty patients with tibial plateau fractures underwent minimally invasive surgery under the guidance of knee arthroscopy were selected,and they were divided into control group and observation group according to the order of visits,40 cases in each group.The patients received traditional open surgery ＋ internal fixation surgery or knee arthroplasty under the guidance of minimally invasive surgery.The treatment effect was analyzed in the two groups.Results The duration of operation,time of getting out of bed,amount of blood flow during surgery,postoperative fracture volume and the incidence of complications in the observation group were significantly better than those in the control group （t =2.360,3.141,4.106,3.232,7.439,all P 〈 0.05）.The excellent rate of improvement of joint function and the score of quality of life in the observation group were significantly higher than those in the control group （all P 〈 0.05）.Conclusion The minimally invasive treatment of tibial plateau fractures guided by knee arthroscopy is better,the safety is higher and the postoperative recovery is good.
出处
《中国基层医药》
CAS
2017年第23期3567-3571,共5页
Chinese Journal of Primary Medicine and Pharmacy
关键词
胫骨骨折
膝关节
外科手术
微创性
Tibial fractures
Knee joint
Surgical procedures,minimally invasive
