不同方法治疗后踝关节骨折患者的回顾性对比研究

Retrospective Comparative Study of Different Treatment Methods for Patients with Posterior Ankle Fractures

目的:分析对比两种不同方法对后踝关节骨折患者的治疗效果。方法:对2018年6月-2020年6月在海安市中医院接受手术治疗的后踝关节骨折患者62例的临床资料进行回顾性分析,按手术方法的不同分为研究组(31例)、空心钉组(31例)。研究组采用抗滑钢板固定治疗,空心钉组则采用空心钉固定治疗。对比两组手术效果、围手术期指标、踝关节功能、术后并发症。结果:研究组总有效率为96.77%(30/31),高于空心钉组总有效率70.97%(22/31),差异有统计学意义(P<0.05)。研究组手术时间长于空心钉组,术中出血量多于空心钉组,住院时间、愈合时间均短于空心钉组(P<0.05)。两组术前踝关节功能评分比较,差异无统计学意义(P>0.05);研究组术后1、2个月踝关节功能评分均高于空心钉组(P<0.05)。研究组术后并发症发生率为9.68%(3/31),低于空心钉组的32.26%(10/31),差异有统计学意义(P<0.05)。结论:抗滑钢板固定治疗后踝关节骨折效果更为理想,可缩短患者住院时间与愈合时间,安全性高,值得推广。

Objective:To analyze and compare the therapeutic effects of two different methods on patients with posterior ankle fractures.Method:The clinical data of 62 patients with posterior ankle fractures who underwent surgical treatment in the Hai’an Hospital of Traditional Chinese Medicine from June 2018 to June 2020 were retrospectively analyzes,and the patients were divided into the study group(31 cases)and hollow nail group(31 cases)according to different surgical methods.The study group was treated with anti-skid steel plate fixation,and the hollow nail group was treated with hollow nail fixation.The surgical effects,perioperative indexes,ankle joint function and postoperative complications of two groups were compared.Result:The total effective rate of the study group was 96.77%(30/31),which was higher than 70.97%(22/31)of the hollow nail group,the difference was statistically significant(P<0.05).The operation time in the study group was longer than that of the hollow nail group,amount of intraoperative bleeding was significantly higher than that of the hollow nail group,the hospitalization time and healing time were shorter than those of the hollow nail group,the differences were statistically significant(P<0.05).There was no significant difference in preoperative ankle function score between two groups(P>0.05);the ankle function scores of the study group at 1 month and 2 months after surgery were higher than those of the hollow nail group(P<0.05).The incidence of postoperative complications in the study group was 9.68%(3/31),which was lower than 32.26%(10/31)of the hollow nail group,the difference was statistically significant(P<0.05).Conclusion:The effect of anti-skid plate fixation for ankle joint fractures is more ideal,which can reduce the hospitalization time and healing time of patients,and has high safety and is worthy of promotion.