闭合复位经皮螺钉内固定治疗跖跗关节损伤研究

Study on the therapy of closed reduction and percutaneous screw internal fixation in the treatment of tarsometatarsal joint injury

目的探讨闭合复位经皮螺钉内固定对跖跗关节损伤患者治疗的效果,并对治疗的安全性进行分析。方法利用回顾性分析的方法选取了我院2014年6月~2015年6月的70例跖跗关节损伤患者,分为观察组与对照组各35例。观察组的患者给予闭合复位经皮螺钉内固定进行治疗,对照组的患者给予闭合复位克氏针固定进行治疗,比较观察组与对照组患者的治疗效果。结果治疗后观察组患者的治疗有效率达96.97%,对照组患者的治疗有效率为74.29%,观察组患者的治疗有效率显著高于对照组患者;观察组患者的不良反应发生率为5.71%,对照组患者的不良反应发生率为22.86%,观察组患者的不良反应发生率显著低于对照组患者,比较差异有统计学意义（P〈0.05）。观察组与对照组患者的手术时间与住院时间比较差异无统计学意义（P〉0.05）;观察组患者的出血量和愈合时间显著低于对照组患者,比较差异有统计学意义（P〈0.05）。结论跖跗关节损伤患者利用闭合复位经皮螺钉进行内固定的治疗方法具有较好的效果,且具有较高的安全性,值得在临床上进行推广与应用。

Objective To explore the effect and safety of the therapy-closed reduction and percutaneous screw internal fixation-in the treatment of tarsometatarsal joint injury. Methods 70 patients with tarsometatarsal joint injuries who were in our hospital from June 2014 to June 2015 were randomly divided into observation group and control group,35 cases in each group.The observation group received the therapy of closed reduction and percutaneous screw internal fixation, while the control group received the therapy of closed reduction and Kirschner wire fixation,the treatment effect of the two groups were compared. Results After treatment,in the observation group,the effective rate of treatment was 96.97%,which was obviously higher than the 74.29% of the control group, the adverse reaction rate was 5.71%,which was obviously lower than the 22.86% of the control group, the differences was statistically significant（P 0.05）.The differences of operation time and hospitalization time between the two groups were not statistically significant（P 0.05）.The blood loss amount and healing time of the observation group were obviously less than those of the control group, the differences were statistically significant（P 0.05）. Conclusion The therapy of closed reduction and percutaneous screw internal fixation is effective and safe in the treatment of tarsometatarsal joint injuries, which is worthy of clinical promotion.