胫骨平台骨折关节镜下微创操作的效果分析  

Clinical Effect Analysis of Minimally Invasive Operation Under Arthroscopy for Bone Fractures of Tibial Plateau

作　　者：罗育润 叶少腾 陈志云[1] 陈凯宁[1] 苏伟坤 蓝创新 

机构地区：[1]广东省普宁市人民医院外五科,广东普宁515300

出　　处：《临床医学工程》2013年第10期1239-1240,共2页Clinical Medicine & Engineering

摘　　要：目的探讨在关节镜下进行微创手术治疗胫骨平台骨折的效果。方法以2010年1月至2013年1月间来我院治疗胫骨平台骨折的患者100例为研究对象,随机分为实验组(50例)与对照组(50例),实验组行关节镜下微创手术治疗,对照组行传统切开复位钢板内固定手术治疗,出院后5至16月随访调查患者情况,统计分析比较两组患者在治疗效果方面的差异。结果实验组与对照组相比较,实验组术中出血量少,手术时间和切口长度短,骨折愈合时间较对照组短,术后并发症例数少,患者满意度明显好于对照组,患者Sanders膝关节功能评分中优秀和良好例数显著多于对照组,经检验其差异均有统计学意义(P<0.05)。结论关节镜下微创操作治疗胫骨平台骨折可显著减小患者创口并减少出血量和患者对手术的应激,缩短骨折愈合时间,明显提高患者对手术的满意度,是符合时代需要且应推广应用的行之有效的治疗方法。Objective To explore the clinical effect of minimally invasive operation under arthroscopy for bone fractures of tibial plateau. Methods 100 patients with bone fractures of tibial plateau were divided into the experimental group and control group, with 50 cases in each group. The experimental group was treated with the minimally invasive operation under arthroscopy, while the control group was treated with open reduction and internal fixation with plate. The curative effects were compared. Results Compared with the control group, the experimental group had less intraoperative blood loss, shorter length of incision, operation time and fracture healing time, fewer cases of complications, higher patients＇ satisfaction degree, and better knee fimctional score （all P 〈0.05）. Conclusions Minimally invasive operation under arthroscopy for bone fractures of tibial plateau can significant minish surgical wound, reduce the amount of bleeding and patients surgical stress, shorten fracture healing time, and improve patients＇ satisfaction to surgery, which is worthy of clinical application.

关 键 词：关节镜 胫骨平台骨折 微创操作 

分 类 号：R683.42[医药卫生—骨科学]