C臂机透视下小切口骨刀撬拨治疗跟骨骨折患者的有效性与安全性  

Efficacy and safety of small incision bone knife prying under C-arm fluoroscopy in the treatment of patients with calcaneal fracture

作　　者：韩亮 李强松 HAN Liang;LI Qiangsong(Armed Police Corps Hospital of Shaanxi,Xi'an 710054,China)

机构地区：[1]武警陕西省总队医院,陕西西安710054

出　　处：《临床医学研究与实践》2023年第33期95-98,共4页Clinical Research and Practice

摘　　要：目的分析C臂机透视下小切口骨刀撬拨治疗跟骨骨折患者的临床价值。方法选取2019年4月至2021年4月我院收治的82例跟骨骨折患者为研究对象,根据入院先后顺序将其分为对照组(n=41,传统切口复位内固定术)和研究组(n=41,C臂机透视下小切口骨刀撬拨治疗)。比较两组的治疗效果。结果研究组的手术时间、术后下床活动时间、住院时间短于对照组,术中出血量、住院费用少于对照组,术后疼痛评分低于对照组(P<0.05)。术后5 d,两组的跟骨Bohler角、跟骨长度、跟骨宽度、结节部高度优于术前(P<0.05);术前、术后5 d,两组的跟骨Bohler角、跟骨长度、跟骨宽度、结节部高度无明显差异(P>0.05);术后3个月,两组的足部功能评分高于术前(P<0.05);术前、术后3个月,两组的足部功能评分无明显差异(P>0.05)。术后1个月,研究组的C-反应蛋白(CRP)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、白细胞介素-22(IL-22)水平低于对照组(P<0.05)。研究组的并发症总发生率低于对照组(P<0.05)。结论C臂机透视下小切口骨刀撬拨治疗跟骨骨折的效果理想,能够减轻机体损伤,改善患者预后,且手术安全性较高。Objective To analyze the clinical value of small incision bone knife prying under C-arm fluoroscopy in the treatment of calcaneal fracture.Methods A total of 82 patients with calcaneal fracture admitted in our hospital from April 2019 to April 2021 were selected as the research objects.According to the order of admission,the patients were divided into control group(n=41,traditional incision reduction and internal fixation)and study group(n=41,small incision bone knife prying treatment under C-arm fluoroscopy).The therapeutic effects of the two groups were compared.Results The operation time,postoperative ambulation time and hospitalization time of the study group were shorter than those of the control group,the intraoperative blood loss and hospitalization cost were less than those of the control group,and the postoperative pain score was lower than that of the control group(P<0.05).At 5 d after operation,the calcaneal Bohler angle,calcaneal length,calcaneal width and nodule height of the two groups were better than those before operation(P<0.05);there were no significant differences in calcaneal Bohler angle,calcaneal length,calcaneal width and nodule height between the two groups before and 5 d after operation(P>0.05);at 3 months after operation,the foot function score of the two groups was higher than that before operation(P<0.05);there was no significant difference in foot function score between the two groups before and 3 months after operation(P>0.05).One month after operation,the levels of C-reactive protein(CRP),interleukin-1β(IL-1β),interleukin-6(IL-6)and interleukin-22(IL-22)in the study group were lower than those in the control group(P<0.05).The total incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion The small incision bone knife prying under C-arm fluoroscopy in the treatment of calcaneal fracture has ideal effect,which can reduce the body injury and improve the prognosis of patients,and has high operation safety.

关 键 词：跟骨骨折 C臂机 小切口 骨刀撬拨 

分 类 号：R687.3[医药卫生—骨科学]