手术治疗与保守治疗B1型踝关节骨折的临床效果比较

Comparison of Clinical Effects of Surgical Treatment and Conservative Treatment of Type B1 Ankle Fractures

目的分析手术治疗与保守治疗B1型踝关节骨折的临床效果。方法在2018年8月—2019年12月期间诊治,选取医院74例B1型踝关节骨折患者作为研究对象,对B1型踝关节骨折患者按照不同治疗方式进行分组;对照组(n=37)对B1型踝关节骨折患者采用手术治疗,研究组(n=37)对B1型踝关节骨折患者采用保守治疗方式,对两组临床时间指标(骨折愈合时间、手术时间、住院时间)、生活质量(躯体功能、心理功能、精神职能、社会功能、健康情况)、踝关节功能FAOQ评分、Mazur踝关节评分进行比较。结果研究组与对照组相比较,研究组临床时间指标(骨折愈合时间、手术时间、住院时间)较短,两组之间差异无统计学意义(P>0.05)。与对照组相比较,研究组生活质量(躯体功能、心理功能、精神职能、社会功能、健康情况)明显较优,两组之间差异具有统计学意义(P<0.05)。与对照组相比较,研究组踝关节功能FAOQ评分、Mazur踝关节评分明显较高,两组之间差异具有统计学意义(P<0.05)。结论对B1型踝关节骨折患者进行保守治疗的治疗方式,相对来说治疗效果较好,有效从躯体功能、心理功能、精神职能、社会功能、健康情况提高患者生活质量,同时也可以提高患者的踝关节功能FAOQ评分与Mazur踝关节评分,缩短骨折愈合时间、手术时间、住院时间。

Objective To analyze the clinical effect of surgical treatment and conservative treatment for type B1 ankle fracture.Methods From August 2018 to December 2019,74 patients with Type B1 ankle fractures in our hospital were selected as study subjects.Patients with type B1 ankle fractures were grouped according to different treatment methods.Control group(n=37)for B1 type ankle fractures were treated by surgical treatment,research group(n=37)of B1 type ankle fractures were treated by conservative treatment,time of two groups of clinical indicators(fracture healing time,operation time,length of hospital stay),the quality of life,physical function,psychological function,mental function,social function,health status,ankle function FAOQ ratings,said Mazur ankle score comparison.Results Compared with the control group,the clinical time indicators(fracture healing time,operation time,hospitalization time)of the study group were shorter,but there was no significant difference between the two groups(P>0.05).Compared with the control group,the quality of life(physical function,psychological function,mental function,social function,health condition)of the study group was significantly better,and the difference between the two groups was statistically significant(P<0.05).Compared with the control group,the ankle function faoq score and Mazur ankle score of the study group were significantly higher,and the difference between the two groups was statistically significant(P<0.05).Conclusion Patients with ankle fracture type B1 for treatment of conservative treatment,treatment effect is relatively good,effective from physical function,psychological function,mental function,social function,and improve the patients quality of life condition,but also can improve the ankle function in patients with FAOQ grade and said Mazur ankles,shorten fracture healing time,operation time,length of hospital stay.