不同时期手术治疗踝关节骨折脱位的效果对比分析  

Comparative Analysis of Effects of Surgery in Different Periods in the Treatment of Ankle Fracture Dislocation

作　　者：远东涛[1] 张绍安[1] 王松茂[1] 李智浩[1] 张志海[1] YUAN Dong-tao;ZHANG Shao-an;WANG Song-mao(Third Department of Orthopedics,The Second Affiliated Hospital of Luohe Medical College,Luohe 462300,Henan Province,China)

机构地区：[1]漯河医学高等专科学校第二附属医院骨三科

出　　处：《罕少疾病杂志》2019年第5期76-78,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的分析比较急诊手术与择期手术治疗踝关节骨折脱位的效果。方法回顾性分析我院行急诊手术治疗(观察组)和行择期手术治疗(对照组)的踝关节骨折脱位患者各42例临床资料。记录两组手术相关指标(手术时间、术中出血量、住院时间、住院费用)、术后恢复情况(骨折愈合时间、术后12个月时踝关节功能)差异,并比较两组术前及术后1个月生活满意度[生活满意度量表(SWLS)]、疼痛程度[医学结局研究用疼痛量表(MOSPM)]差异。结果两组手术时间、术中出血量、术后12个月时踝关节功能比较,差异无统计学意义(P>0.05),但观察组住院时间、住院费用、骨折愈合时间均较对照组低(P<0.05)。术后1个月时,两组SWLS评分较术前升高(P<0.05),MOSPM评分则较术前降低(P<0.05),且观察组变化幅度大于对照组(P<0.05)。结论急诊手术与择期手术对踝关节骨折脱位患者远期踝关节功能影响相近,但急诊手术患者住院时间及住院费用均较低,且患者术后早期恢复状态(疼痛程度、生活满意度改善情况)优于择期手术者,临床应用价值更高。Objective To analyze and compare the effects of emergency surgery and elective surgery on ankle fracture dislocation.Methods The clinical data of each 42 patients with ankle fracture dislocation who underwent emergency surgery(observation group)and elective surgery(control group)were retrospectively analyzed.The surgical related indicators(operative time,intraoperative blood loss,hospital stay,hospitalization cost)and postoperative recovery(fracture healing time,ankle joint function at 12 months after surgery)were recorded in the two groups,and the life satisfaction[Satisfaction With Life Scale(SWLS)]and pain degree[Medical Outcomes Study Pain Measure(MOSPM)]were compared between the two groups before surgery and at 1 month after surgery.Results There were no significant differences in the operative time,intraoperative blood loss and ankle joint function at 12 months after surgery between the two groups(P>0.05).However,the hospital stay,hospitalization cost and fracture healing time in observation group were lower than those in control group(P<0.05).At 1 month after surgery,the SWLS scores in the two groups were higher than those before surgery(P<0.05)while the MOSPM scores were lower than those before surgery(P<0.05),and the changes in observation group were greater than those in control group(P<0.05).Conclusion Emergency surgery and elective surgery have similar effects on long-term ankle joint function in patients with ankle fracture dislocation,but emergency surgery has shorter hospital stay and lower hospitalization cost,and its early recovery status(improvements of pain degree and life satisfaction)is better than elective surgery,and it has higher clinical application value.

关 键 词：踝关节骨折脱位 急诊手术 择期手术 对比分析 

分 类 号：R684.7[医药卫生—骨科学] R683.42[医药卫生—外科学]