改良外侧横直切口与外侧L形切口治疗跟骨骨折的效果比较

Comparison of the effect of modified lateral straight incision and lateral L-shaped incision in the treatment of calcaneal fractures

目的探讨改良外侧横直切口与外侧L形切口治疗跟骨骨折的临床效果比较。方法选取2015年12月~2020年2月揭阳市人民医院骨外科收治的46例跟骨骨折患者作为研究对象,采用随机数字表法分为对照组和研究组,每组各23例。对照组应用外侧L形切口治疗,研究组应用改良外侧横直切口治疗。比较两组患者的手术指标、并发症的发生情况以及治疗效果。结果研究组手术时间及住院时间短于对照组,差异有统计学意义(P<0.05);研究组手术切口长度短于对照组,差异有统计学意义(P<0.05);两组术中出血量比较,差异无统计学意义(P>0.05);研究组并发症总发生率低于对照组,差异有统计学意义(P<0.05);研究组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论改良外侧横直切口应用于跟骨骨折中,缩短了住院时间及手术时间,节省了治疗费用,降低了切口感染及皮缘坏死等并发症的发生,可以应用推广。

Objective To explore the clinical effects of modified lateral straight incision and lateral L-shaped incision in the treatment of calcaneal fractures.Methods A total of 46 patients with calcaneal fractures admitted to the Department of Orthopedics,Jieyang People′s Hospital from December 2015 to February 2020 were selected as the research objects.They were divided into the control group and the study group according to the random table method,with 23 cases in each group.The control group were treated with the lateral L-shape incision,and the study group were treated with modified lateral straight incisions.The surgical indicators,complications and curative effects were compared between the two groups.Results The operation time and hospital stay time in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The length of surgical incision in the study group was shorter than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in intraoperative blood loss between the two groups(P>0.05).The total incidence of complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).The total effective rate in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The modified lateral straight incisions applicated in calcaneal fracture,shorten the hospital stay time and operation time,save the treatment cost,reduce the complications such as incision infection and skin edge necrosis,which could be applied and promoted.