手术与非手术治疗跟骨骨折的疗效比较

Efficacy comparison of surgical and non-surgical treatment of calcaneal fractures

目的讨论跟骨骨折后，手术治疗与非手术治疗的效果比较。方法回顾性分析2013年1月～2015年5月来我院进行手术治疗的40例跟骨骨折患者，作为实验组，并且在同一时间段选取30例没有选择手术治疗的患者，作为对照组，两组进行治疗后骨折恢复情况（骨折愈合时间，Bohler角和Gissan角恢复情况）、并发症以及Maryland评分比较。结果手术治疗的实验组患者术后骨折恢复时间为（189．3±81．5）d、Bohler角和Gissan角恢复情况分别为（40．2±4．02）°与（122．6±8．91）°，对照组结果分别为（165．4±66．2）天、（28．4±5．21）°、（149．4±8．48）°，差异有统计学意义（P〈0．05）。治疗期间实验组有2例发生感染，对照组有10例患者发生不同程度的并发症。Maryland评分中实验组总优率比对照组总优率高出22．5个百分点。结论跟骨骨折患者，在选定最佳治疗方式时，应根据患者的具体情况，骨折程度、类型等进行选择。手术治疗和非手术治疗都具有一定的独特性，在患者愈后也有明显差异。

Objective To discuss the effect of surgical treatment and non operative treatment for calcaneal fracture. Methods 40 cases of calcaneal fracture patients cured in our hospital from January 2013 to May 2015 were retrospectively analyzed and selected as experimental group.In the same time period,30 cases of non surgical treatment of patients were selected as control group.Fracture recovery condition of fracture healing time,Bohler angle and Gissan angle of the recovery）,complications,and Maryland score of the two groups after treatment were compared. Results Fracture recovery time of patients in experimental group was （189.3± 81.5）days,Bohler angle and angle Gissan recovery of experimental group were （40.2 ± 4.02）° and （122.6 ± 8.91）° ,and the results of control group were （165.4 ±66.2）days,（28.4± 5.21）° ,（149.4 ± 8.48）° ,and the differences were significant,（P 〈 O.05）.There were 2 cases 2 cases of infection in experimental group during the treatment period The experimental group during treatment.There were 10 cases of patients with varying degrees of complications in control group.Maryland score in the experimental group was higher than the control group,the total excellent rate of 22.5 percentage points. Conclusion For patients with calcaneal fractures,on the point of selecting the best treatment,it is important to be based on the specific circumstances of the patient,the degree of fracture,type and so on.Surgical treatment and non surgical treatment have a certain uniqueness.After the patient is healed,it also has a significant difference.