比较踝关节骨折采用手术治疗和手法复位治疗的效果  

Comparison of the Curative Effect of Surgery and Manipulative Reduction Treating for Ankle Fracture

作　　者：吴增良[1] 吴旭东[1] 卫斌[1] 王小忠 

机构地区：[1]扬州市江都中医院骨伤科,江苏扬州225200

出　　处：《中外医疗》2017年第23期48-50,共3页China & Foreign Medical Treatment

摘　　要：目的分析踝关节骨折应用手术与手法复位治疗的临床效果。方法随机选取2014年1月—2016年11月在该院治疗的踝关节骨折患者60例,分为手术治疗组和手法复位治疗组,比较两组患者的治疗效果。结果手法复位治疗组住院时间短于手术治疗组,但骨折愈合时间长于手术治疗组,差异有统计学意义(P<0.05)。手术组踝关节功能恢复优良率为93.34%,手法复位组优良率为90.00%,组间差异无统计学意义(P>0.05)。两组并发症比较,差异无统计学意义(P>0.05)。结论手术治疗与手法复位治疗踝关节骨折均具有较好疗效,均有助于患者踝关节功能恢复,手法复位具有简便性和经济性,手术治疗能够缩短骨折愈合时间。Objective This paper tries to analyze the clinical effect of surgery and manipulative reduction treatment for ankle fracture. Methods 60 patients with ankle fracture treated in this hospital from January 2014 to November 2016 were random selected and divided into two groups, the surgical treatment group and the manipulative reduction group. The treatment effect of the two groups was compared. Results The length of stay of the manipulative reduction group was shorter than that of the surgical treatment group, but the fracture healing time was longer than that of the surgical treatment group,so the difference was statistically significant（P〈0.05）. The excellence rate of ankle function recovery of the surgical group was 93.34%, and that of the manipulative reduction group was 90.00%, with no evident difference（P〉0.05）. There was no difference in the complications of the two groups（P 〉0.05）. Conclusion Both the surgery and manipulative reduction for treating ankle fracture have good efficacy, and help to recover the ankle fracture, the manipulative reduction is easy and economic, and the surgery treatment can reduce fracture healing time.

关 键 词：手术治疗 踝关节骨折 手法复位 临床效果 

分 类 号：R4[医药卫生—临床医学]