摘要
目的探究关节镜辅助下经皮球囊扩张骨水泥充填治疗SchatzkerⅡ、Ⅲ型胫骨平台骨折的临床效果。方法选取2015年2月~2019年5月广州市白云区妇幼保健院收治的45例SchatzkerⅡ、Ⅲ型胫骨平台骨折患者作为研究对象,采用随机数字表法分为对照组(22例)和观察组(23例)。对照组采用开放复位内固定治疗,观察组采用在关节镜辅助下经皮球囊扩张骨水泥充填治疗。比较两组的手术指标、不良反应总发生率、切口愈合情况以及视觉模拟评分法(VAS)评分和美国特种外科医院膝关节(HSS)评分。结果观察组的手术时间、切口长度、住院时间短于对照组,术中出血量少于对照组,不良反应总发生率低于对照组,切口愈合情况优于对照组,VAS评分低于对照组,观察组的HSS评分高于对照组,差异有统计学意义(P<0.05)。结论采用在节镜辅助下经皮球囊扩张骨水泥充填治疗SchatzkerⅡ、Ⅲ型胫骨平台骨折,能够取得良好的治疗效果,有助于优化各项手术指标,缩短治疗时间,降低术后不良发育发生率和疼痛度,促进患者膝关节功能恢复,性价比较低,值得推广。
Objective To explore the clinical effect of arthroscopy assisted percutaneous balloon expansion of bone cement filling treating Schatzker typeⅡandⅢtibial plateau fracture.Methods A total of 45 patients with Schatzker typeⅡandⅢtibial plateau fracture admitted to Baiyun District Maternal and Child Health Hospital of Guangzhou from February 2015 to May 2019 were selected as the research objects.The patients were divided into the control group(22 cases)and the observation group(23 cases)according to the random number table method.The control group was treated with open reduction and internal fixation,and the observation group was treated with arthroscopy assisted percutaneous balloon expansion of bone cement filling.The surgical indexes,the total incidence of adverse reactions,wound healing,visual analogue scale(VAS)score and hospital for special surgery knee(HSS)score were compared between the two groups.Results The operation time,incision length and hospitalization time in the observation group were shorter than those in the control group,the intraoperative bleeding volume in the observation group was less than that in the control group,the total incidence of adverse reactions in the observation group was lower than that in the control group,the wound healing in the observation group was better than that in the control group,the VAS score in the observation group was lower than that in the control group,the HSS score in the observation group was higher than in the control group,the differences were statistically significant(P<0.05).Conclusion Arthroscopy assisted percutaneous balloon expansion of bone cement filling on Schatzker typeⅡandⅢtibial plateau fracture could achieve good clinical effect.It is helpful to optimize the operation indexes,shorten the treatment time,reduce the incidence of postoperative dysplasia and pain,and promote the recovery of knee joint function,have low cost-performance.It is worth promoting.
作者
陈金民
陈穗生
夏暴权
罗晓嘉
卢成海
周虹
CHEN Jin-min;CHEN Sui-sheng;XIA Bao-quan;LUO Xiao-jia;LU Cheng-hai;ZHOU Hong(Department of Bone Surgery,Baiyun District Maternal and Child Health Hospital of Guangzhou,Guangdong Province,Guangzhou 510410,China;Department of Dermatology&STD,Baiyun District Maternal and Child Health Hospital of Guangzhou,Guangdong Province,Guangzhou 510410,China)
出处
《中国当代医药》
CAS
2021年第17期71-74,共4页
China Modern Medicine
基金
广东省医学科学技术研究基金项目(A2018100)。