糖尿病患者踝关节骨折的手术治疗  

Surgical treatment of fractures of the ankle in diabetics

作　　者：阎戈[1] 徐勇强[1] 陈润新[1] 王愉思[1] 

机构地区：[1]湖南省人民医院创伤骨科,湖南长沙410006

出　　处：《医学临床研究》2012年第4期613-615,共3页Journal of Clinical Research

摘　　要：[目的] 探讨合并糖尿病的踝关节骨折的处理及手术方式.[方法] 回顾分析2005年2月至2010年2月收治的95例踝关节骨折的患者,根据是否合并糖尿病而将病例分为糖尿病骨折组（37例）及对照组（58例）,比较两组术后出现感染、骨髓炎、骨折延迟愈合及内固定松动等并发症的几率.[结果] 随访10~21（14.3±2.4）个月,糖尿病骨折组术后各项并发症的出现的几率与对照组比较,无显著性差异（P〉0.05）.[结论] 围手术期合理控制血糖和合适的手术方式,可以减少合并糖尿病的踝关节骨折术后并发症.[Objective] To investigate the treatment and surgical method of ankle fractures in patients with diabetics mellitus. [Methods]A retrospective study of ankle fractures in 95 patients from February 2005 to February 2010, these cases was divided into the fracture with diabetic group （37 cases） and the control group （58 cases） according to whether the patients have diabetics mellitus, comparing the risk of postoperative complications such as infection, osteomyelitis, delayed union, and loosening of internal fixation. [Results] Followup 10-21 （14.3±2.4） months, there is no significant difference in the fracture with diabetes group and the control group in the risk of postoperativethe complications-（ P 〉0.05）. [Conclusion] Reasonable control of blood glucose in perioperative and the appropriate surgical method may be reduce the postoperativethe complications in ankle fracture in patients with diabetic mellitus.

关 键 词：糖尿病/并发症 骨折/治疗 踝损伤/治疗 

分 类 号：R684.7[医药卫生—骨科学]