[1]张　晖.经皮微创空心螺钉内固定联合自拟汤药治疗踝关节骨折疗效观察[J].新乡医学院学报,2017,34(7):604-606.[doi:10.7683/xxyxyxb.2017.07.013]
　ZHANG Hui.Effect of minimally invasive percutaneous cannulated screw internal fixation combined with self-made decoction in the treatment of ankle fracture[J].Journal of Xinxiang Medical University,2017,34(7):604-606.[doi:10.7683/xxyxyxb.2017.07.013]
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经皮微创空心螺钉内固定联合自拟汤药治疗踝关节骨折疗效观察
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
34
期数:
2017年7
页码:
604-606
栏目:
临床研究
出版日期:
2017-07-05

文章信息/Info

Title:
Effect of minimally invasive percutaneous cannulated screw internal fixation combined with self-made decoction in the treatment of ankle fracture
作者:
张　晖
（漯河医学高等专科学校第三附属医院骨科，河南　漯河　462000）
Author(s):
ZHANG Hui
（Department of Osteology，the Third Affiliated Hospital of Luohe Medical College，Luohe 462000，Henan Province，China）
关键词:
踝关节骨折; 自拟汤药; 经皮微创空心螺钉内固定术; 生活质量
Keywords:
ankle fracture; self-made decoction; minimally invasive percutaneous cannulated screw internal fixation; quality of life
分类号:
R683.42
DOI:
10.7683/xxyxyxb.2017.07.013
文献标志码:
A
摘要:
目的　探讨经皮微创空心螺钉内固定术联合自拟汤药治疗踝关节骨折的临床效果。方法　选取2014年8月至2016年9月漯河医学高等专科学校第三附属医院收治的踝关节骨折患者88例，按照治疗方法分为观察组43例和对照组45例，对照组患者给予经皮微创空心螺钉内固定术治疗，观察组患者给予自拟汤药联合经皮微创空心螺钉内固定术治疗，对2组患者治疗效果及并发症发生率进行比较。结果　观察组患者骨折愈合时间和完全负重时间分别为（8.7±1.7）、（10.3±3.1）周，对照组患者骨折愈合时间和完全负重时间分别为（10.7±2.1）、（13.2±3.8）周，观察组患者骨折愈合时间和完全负重时间显著短于对照组（P<0.05）。术前2组患者踝关节功能Kofoed评分比较差异无统计学意义（P>0.05）；术后12个月，2组患者踝关节功能Kofoed评分均显著高于术前（P<0.05），且观察组患者踝关节功能Kofoed评分显著高于对照组（P<0.05）。术前2组患者踝关节疼痛视觉模拟评分法（VAS）评分比较差异无统计学意义（P>0.05）；术后12个月，2组患者踝关节疼痛VAS评分均显著低于术前（P<0.05），且观察组患者踝关节疼痛VAS评分显著低于对照组（P<0.05）。对照组和观察组患者治疗效果优良率分别为71.1%（32/45）、86.0%（37/43），观察组患者治疗效果优良率显著高于对照组（χ2=7.236,P<0.05）。对照组患者感染和创伤性关节炎发生率分别为15.6%（7/45）、17.8%（8/45），观察组患者感染和创伤性关节炎发生率分别为4.7%（2/43）、9.3%（4/43），观察组患者感染和创伤性关节炎发生率显著低于对照组（χ2=8.731、9.172，P<0.05）。结论　自拟汤药联合经皮微创空心螺钉内固定术治疗踝关节骨折可以显著减轻患者术后疼痛，促进骨折愈合，改善踝关节功能，降低并发症发生率。
Abstract:
Objective　To investigate the clinical effect of minimally invasive percutaneous cannulated screw internal fixation combined with self-made decoction in the treatment of ankle fracture.Methods　A total of 88 patients with ankle fracture were selected from August 2014 to September 2016 in the Third Affiliated Hospital of Luohe Medical College.The patients were divided into observation group（n=43） and control group（n=45） according to the treatment method.The patients in the control group were treated with minimally invasive percutaneous cannulated screw internal fixation，and the patients in the observation group were treated with self-made decoction combined with minimally invasive percutaneous cannulated screw internal fixation.The effect and the incidence of complication were compared between the two groups.Results　The fracture healing time and the full weight bearing time in the observation group was （8.7±1.7）weeks and （10.3±3.1）weeks respectively，the fracture healing time and the full weight bearing time in the control group was （10.7±2.1）weeks and （13.2±3.8）weeks respectively，the fracture healing time and the full weight bearing time in the control group were significantly shorter than those in the control group（P<0.05）.There was no significant difference in Kofoed score of ankle joint function between the two groups before operation （P>0.05）.The Kofoed score of ankle joint function 12 months after operation was significantly higher than that before operation in the two groups （P<0.05）.The Kofoed score of ankle joint function in the observation group was significantly higher than that in the control group 12 months after operation （P<0.05）.There was no significant difference in visual analogue scales(VAS) score of ankle joint pain between the two groups before operation （P>0.05）.The VAS score of ankle joint pain 12 months after operation was significantly lower than that before operation in the two groups （P<0.05）.The VAS score of ankle joint pain in the observation group was significantly lower than that in the control group 12 months after operation （P<0.05）.The fineness rate in the control group and observation group was 71.1% （32/45） and 86.0% （37/43） respectively，the fineness rate in the observation group was significantly higher than that in the control group （χ2=7.236,P<0.05）.The incidence of infection and traumatic arthritis in the control group was 15.6% （7/45） and 17.8% （8/45） respectively，and the incidence of infection and traumatic arthritis in the observation group was 4.7% （2/43） and 9.3% （4/43） respectively，the incidence of infection and traumatic arthritis in the observation group was significantly lower than that in the control group （χ2=8.731,9.172;P<0.05）.Conclusion　Self-made decoction combined with minimally invasive percutaneous cannulated screw internal fixation in the treatment of ankle fracture can significantly reduce postoperative pain，promote fracture healing，improve the ankle joint function，reduce the incidence of complications.

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更新日期/Last Update: 2017-07-05