微创技术在创伤骨科中的应用价值分析

The analysis of application value in minimally invasive surgery technology on orthopedic trauma

目的:探讨微创技术在创伤骨科中的应用价值。方法:选取100例骨科创伤患者,根据手术方法将其分为传统手术组(49例)和微创手术组(51例),比较分析两组患者手术切口、手术时间、术中出血量、住院时间、术后1周切口疼痛评分、术后并发症发生率及治疗满意度。结果:微创手术组患者的手术切口长度、手术时间、术中出血量、疼痛评分、切口愈合时间及住院时间均优于传统手术组患者,两组相比有差异(t=5.452,t=11.358,t=28.560,t=9.210,t=6.820;P<0.05);术后微创手术组患者并发症发生率为9.8%,传统手术组患者并发症发生率为18.4%,且微创手术组术后并发症发生率明显低于传统手术组,两组相比有差异(x^2=12.325,P<0.05);微创手术组患者手术效果满意度为96.08%,传统手术组患者手术效果满意度为83.67%,微创手术组满意度高于传统手术组,两组比较有差异(H=16.465,P<0.05)。结论:微创技术治疗骨创伤的临床疗效较好,患者易接受,其临床应用价值较高。

Objective： To explore the application value of minimally invasive surgery techniques in orthopedic trauma. Methods： From January 2012 and January 2015, 100 cases of orthopedic trauma patients were selected according to surgical methods, and were divided into traditional surgery group with 49 cases and minimally invasive surgery group with 51 cases, comparing two groups with incision, operation time, intraoperative blood loss, hospital stay, postoperative1 week incision pain score, the incidence of postoperative complications and treatment satisfaction. Results： The minimally invasive surgical incision length, operative time, intraoperative blood loss, pain score, incision healing time and hospital stay in the minimally invasive surgery group were better than that in the traditional surgery group（t=5.452, t=11.358, t=28.560, t=9.210, t=6.820; P〈0.05）. The incidence of postoperative concurrent with minimally invasive surgery group was 9.8%, traditional surgical complication rate was 18.4%, and the incidence of postoperative concurrent with minimally invasive surgery group was significantly lower than traditional surgical group（x^2=12.325, P〈0.05）. Minimally invasive surgical patients＇ satisfaction was 96.08%, traditional surgical operation patients＇ satisfaction was 83.67%, the minimally invasive surgery group＇s satisfaction was higher than traditional surgery group（H=16.465, P〈0.05）. Conclusion： Clinical curative effect of minimally invasive technique is better, and easy to be accepted by the patients. It is more popular in clinical application.