踝关节骨折伴脱位患者的急诊手术探讨  

Emergency operation for patients with ankle fracture complicated with dislocation

作　　者：王全清 李金鸿 WANG Quanqing;LI Jinhong(Department of Surgery,Nanzheng District People′s Hospital in Hanzhong City,Hanzhong,Shaanxi,723100)

机构地区：[1]陕西省汉中市南郑区人民医院外科,陕西汉中723100

出　　处：《实用临床医药杂志》2020年第13期65-67,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨急诊手术在踝关节骨折伴脱位患者中的应用价值。方法将65例踝关节骨折伴脱位患者随机分为急诊组35例和择期组30例。比较2组治疗效果、疼痛视觉模拟评分法(VAS)评分、住院时间、骨折愈合时间、踝关节功能、并发症发生率。结果2组治疗总有效率比较差异无统计学意义(P>0.05)。治疗后,急诊组VAS评分、疼痛持续时间分别为(3.28±1.04)分、(2.11±0.75)d,低于、短于择期组的(6.52±1.08)分、(3.88±0.69)d,差异有统计学意义(P<0.05)。急诊组住院时间、骨折愈合时间显著短于择期组(P<0.05),踝关节功能评分显著高于择期组(P<0.05)。择期组并发症发生率为30.00%,显著高于急诊组的5.72%(P<0.05)。结论采用急诊手术治疗踝关节骨折伴脱位患者的效果显著,可促进患者术后踝关节功能恢复,并发症发生率也较低。Objective To explore the application value of emergency operation in treatment of patients with ankle fracture complicated with dislocation.Methods Totally 65 patients with ankle fracture complicated with dislocation were randomly divided into emergency group(n=35)and selection group(n=30).The therapeutic effect,score of Visual Analogue Scale(VAS),hospitalization time,healing time of fracture,ankle joint function and incidence of complications were compared between the two groups.Results There was no significant difference in the total effective rate between the two groups(P>0.05).After treatment,the VAS score and duration of pain in the emergency group were(3.28±1.04)points and(2.11±0.75)days,which were significantly lower and shorter than(6.52±1.08)points and(3.88±0.69)days in the selection group(P<0.05).The hospitalization time and healing time of fracture in the emergency group were significantly shorter than those in the selection group(P<0.05),and the ankle function score was significantly higher than that in the selection group(P<0.05).The incidence of complications in the selection group was 30.00%,which was significantly higher than 5.72%in the emergency group(P<0.05).Conclusion Emergency surgery is effective in the treatment of patients with ankle fracture complicated with dislocation,which can promote the recovery of ankle function,and reduce the incidence of complications.

关 键 词：踝关节骨折伴脱位 急诊手术 踝关节功能 骨折愈合时间 并发症 

分 类 号：R683.42[医药卫生—骨科学]