手术与非手术治疗跟骨关节内骨折的临床疗效对比分析

Comparative Analysis of the Clinical Efficacy of Surgical and Non-Surgical Treatment and Intra-Articular Fracture

目的探讨手术与非手术治疗跟骨关节内骨折的临床疗效对比。方法选择2016年1月—2018年1月收治的跟骨关节内骨折患者90例为研究对象,据术式分组。对照组开展非手术方法治疗,观察组行手术方法治疗。比较两组跟骨关节内骨折治疗效果;卧床时间、住院时间、跟骨骨折愈合时间;手术前后患者关节功能状态、生活质量水平、生活自理水平;并发症情况。结果观察组跟骨关节内骨折治疗效果高于对照组(P<0.05);观察组卧床时间、住院时间、跟骨骨折愈合时间优于对照组(P<0.05);手术前两组关节功能状态、生活质量水平、生活自理水平相近(P>0.05);手术后观察组关节功能状态、生活质量水平、生活自理水平优于对照组(P<0.05)。观察组并发症少于对照组(P<0.05)。结论跟骨关节内骨折患者行手术方法疗效肯定,可更好改善关节功能状态、生活质量水平、生活自理水平,并减少并发症的发生,卧床时间短,住院短。

Objective to compare the clinical efficacy of surgical and non-surgical treatment with intra-articular fractures. Methods 90 patients with calcaneal intra-articular fracture were selected from January 2016 to January 2018. In the control group, non-surgical treatment was performed, and the observation group underwent surgical treatment. To compare the treatment effect of the two groups with intra-articular fracture; Time of bed, hospital stay, and bone fracture healing time; The functional status, quality of life and self-care level of the patients before and after the operation;Complications. Results The treatment effect was higher than that in the control group(P<0.05). Observation group bed time, hospital time, and bone fracture healing time were better than the control group(P<0.05); The functional status of the two groups, the quality of life and the level of self-care were similar in the two groups before the operation(P>0.05).After operation, the functional status, quality of life, and self-care level of the observation group were better than the control group(P<0.05). The complication of observation group was less than that of control group(P<0.05). Conclusion The curative effect on patients with intra-articular calcaneal fractures surgical method, can better improve the joint function, life quality, life level, and reduce complications, stay in bed for shorter and shorter hospitalization.