带线铆钉治疗髌骨骨折的疗效与经济负担分析  

Analysis of the Curative Effect and Economic Burden of the Treatment of Patellar Fracture with Threaded Rivets

作　　者：李英祥[1] 冯小兵[1] 赵新动 夏欢[2] 吴常杰[1] LI Ying-xiang;FENG Xiao-bing;ZHAO Xin-dong;XIA Huan;WU Chang-jie(Department of Orthopaedics,Qitai Hospital of the Sixth Division of Xinjiang Production and Construction Corps,Changji 831800,Xinjiang,China;Department of Nuclear Medicine,Cancer Hospital Affiliated to Xinjiang Medical University,Urumqi 830011,Xinjiang,China)

机构地区：[1]新疆生产建设兵团第六师奇台医院骨科,新疆昌吉831800 [2]新疆医科大学附属肿瘤医院核医学科,新疆乌鲁木齐830011

出　　处：《医学信息》2023年第20期113-116,共4页Journal of Medical Information

基　　金：第六师五家渠市科技计划项目(编号:2139)。

摘　　要：目的评估带线铆钉治疗髌骨骨折的疗效并分析相关经济负担。方法纳入2018年1月-2021年6月新疆生产建设兵团第六师奇台医院髌骨骨折患者68例,采用随机数字表法分为克氏针组和铆钉组。克氏针组采用克氏针结合钢丝内固定,铆钉组采用铆钉结合金属丝进行内固定,术后进行适当的膝关节功能康复训练,观察术前、术后1周、术后1个月、3个月、6个月、1年Lysholm评分评估膝关节功能,并收集患者治疗过程中产生的医疗相关费用。结果克氏针组手术时间为(67.38±10.47)min,长于铆钉组的(60.71±11.42)min,差异有统计学意义(P<0.05);两组术后关节屈曲度、术后VAS疼痛评分、末次随访并发症比较,差异无统计学意义(P>0.05);两组术前、术后1周、1个月、3个月、6个月、1年的Lysholm评分逐渐升高,差异有统计学意义(P<0.05),组间两两比较,差异无统计学意义(P>0.05);克氏针组合计医疗相关费用为(11192.36±2435.83)元,高于铆钉组的(7449.62±1624.35)元,差异有统计学意义(P<0.05),其中克氏针组在手术费、检查费、住宿与交通费均高于铆钉组,差异有统计学意义(P<0.05)。结论铆钉结合金属丝内固定与克氏针结合钢丝内固定在改善髌骨骨折患者预后及预防并发症方面具有相仿的治疗效果,但前者在缩短手术时间,减轻患者的医疗经济负担方面更具有优势。Objective To evaluate the efficacy of threaded rivets in the treatment of patellar fracture and to analyze the related economic burden.Methods From January 2018 to June 2021,68 patients with patellar fracture in Qitai Hospital of the Sixth Division of Xinjiang Production and Construction Corps were included.They were divided into Kirschner wire group and rivet group by random number table method.The Kirschner wire group was treated with Kirschner wire combined with steel wire internal fixation,and the rivet group was treated with rivet combined with metal wire internal fixation.After operation,appropriate knee joint function rehabilitation training was carried out.Lysholm score was used to evaluate knee joint function before operation,1 week after operation,1 month,3 months,6 months and 1 year after operation,and medical related costs generated during treatment were collected.Results The operation time of the Kirschner wire group was(67.38±10.47)min,which was longer than(60.71±11.42)min of the rivet group,and the difference was statistically significant(P<0.05).There was no significant difference in postoperative joint flexion,postoperative VAS pain score and complications at the last follow-up between the two groups(P>0.05).The Lysholm scores of the two groups increased gradually before and 1 week,1 month,3 months,6 months and 1 year after operation,and the difference was statistically significant(P<0.05),while there was no significant difference between the two groups(P>0.05).The medical related cost of Kirschner wire group was(11192.36±2435.83)yuan,which was higher than that of rivet group(7449.62±1624.35)yuan,and the difference was statistically significant(P<0.05).Among them,the Kirschner wire group was higher than the rivet group in operation cost,inspection cost,accommodation and transportation cost,and the difference was statistically significant(P<0.05).Conclusion Rivet combined with metal wire internal fixation and Kirschner wire combined with steel wire internal fixation have similar therapeutic ef

关 键 词：髌骨骨折 铆钉 克氏针 

分 类 号：R683.4[医药卫生—骨科学]