胫骨平台骨折关节镜下微创治疗的疗效分析

Efficacy analysis of arthroscopic minimally invasive treatment of tibial plateau fractures

目的观察关节镜下微创治疗胫骨平台骨折的临床疗效。方法将2010-02～2012-06收治的112例胫骨平台骨折患者随机分为两组,对照组给予常规手术治疗,观察组在关节镜下微创手术治疗。结果观察组的疗效优于对照组(P<0.05),优良率也高于对照组(P<0.05);切口长度、术中出血量和愈合时间均少于对照组(P均<0.01);而两组患者的手术时间比较差异无统计学意义(P>0.05)。结论对于胫骨平台骨折患者采取关节镜下微创治疗具有损伤小、术后恢复快的优点,临床效果较好,值得在临床中推广应用。

Objective To observe the clinical effect of arthroscopie minimally invasive treatment of tibial plateau fractures. Methods From February 2010 to June 2012, 112 patients with tibiaS plateau fracture were ran- domly divided into two groups, control group＇ s patients received conventional surgical treatment, observation group＇ s patients received arthroscopic minimally invasive surgical treatment. Results The therapeutic effect of observation group was better than that of control group （ P 〈 0. 05 ）, the excellent-good rate of the observation group was higher than that of the control group （ P 〈 0. 05 ） ; Incision length, intraoperative amount of bleeding and healing time in the observation group were less than that in control group（P 〈0. 01 ） ;And between two groups surgical time was no statis- tically significant difference （ P 〉 0. 05 ）. Conclusion For patients with tibial plateau fracture taking arthroscopic minimally invasive treatment has less injury, faster postoperative recovery, and better clinical effect, it is worth the clinical application.