两种微创入路在跟骨关节内骨折的效果分析

Effect Analysis of Two Kinds of Minimally Invasive Approaches in Treat-ment of Intra-Articular Calcaneal Fractures

目的观察两种的不同微创入路在跟骨关节内骨折治疗中的效果。方法回顾性分析2013年1月—2015年1月该院诊治的110例(115足)跟骨关节内骨折患者临床资料,按照不同治疗方式分为两组,对照组55例(58足)患者接受窦跗骨微创入路治疗,研究组55例(57足)患者接受纵行小切口复位微创入路治疗,对比两组治疗效果。结果研究组手术时间(40.26±8.55)min显著短于对照组(60.14±8.74)min,差异有统计学意义(P<0.05)。结论纵行与跗骨窦微创入路治疗跟骨关节内骨折近期疗效良好。

Objective To observe the effect of two kinds of minimally invasive approaches in treatment of intra-articular calcaneal fractures. Methods The clinical data of 110 cases of patients with intra-articular calcaneal fractures（ 115 feet）treated in our hospital from January 2013 to January 2015 were retrospectively analyzed and divided into the control group with 55 cases（ 58 feet） and the research group with 55 cases（ 57feet） according to the different treatment methods, the control group were treated with tarsal sinus minimally invasive approach, the research group were treated with longitudinal small cut reset minimally invasive approach, the treatment effect of the two groups was compared. Results The operation time in the research group was obviously shorter than that in the control group（40.26±8.55）min vs（60.14±8.74）min, the difference was statistically significant（P0.05）. Conclusion The short-term curative effects of longitudinal and tarsal sinus minimally invasive approaches in treatment of intra-articular calcaneal fractures are good.