分步延期手术治疗高能量Pilon骨折的临床研究

Clinical study on fractional delay operation in the treatment of high energy Pilon fracture

目的:探讨分步延期手术治疗高能量Pilon骨折的优势与临床效果。方法:2012年3月-2014年5月收治Pilon骨折患者60例,分为观察组和对照组。观察组采用分步延期手术进行治疗,对照组均于患者伤后8 h内予以切开复位内固定术。比较两组患者的术中出血量、骨折愈合时间、并发症发生率及手术优良率。结果:观察组出血量及并发症发生率均明显低于对照组,手术优良率70.00%,高于对照组的50.00%,比较均有统计学意义(P<0.05)。结论:分步延期手术治疗Pilon骨折在手术方式以及手术时机的选择方面都更恰当,可以有效减少术中出血量、降低并发症发生率并强化手术效果,提高优良率,值得大力推广。

Objective:To investigate the advantage of fractional delay operation in the treatment of high energy Pilon fracture and its clinical effect.Methods:60 patients with Pilon fractures were selected from March 2012 to May 2014.They were divided into the observation group and the control group.The observation group were treated with distribution of delayed operation,and patients in the control group were treated with open reduction and internal fixation within 8 h after injury.The amount of intraoperative bleeding,fracture healing time,complications and the ratio of excellent operation of patients in two groups were compared.Results:The amount of bleeding and complication rates of the observation group were significantly lower than that of the control group.The excellent and good rate in the observation group was 70%,higher than that of the control group was 50%,and the difference was statistically significant(P<0.05).Conclusion:Both in the selecting of operation mode or the timing of operation,fractional delay operation is more appropriate in the treatment of Pilon fracture.This treatment can effectively reduce the intraoperative bleeding volume,and also reduce the incidence of complications and strengthen the operation effect,in addation,it can improve the excellent rate,so it is worthy of popularation.