关节镜辅助微创手术与传统手术治疗胫骨平台骨折的临床有效性对比  

Clinical Efficacy of Arthroscopic Assisted Minimally Invasive Surgery and Traditional Surgery in the Treatment of Tibial Plateau Fractures

作　　者：张哲龙 岑贝妮 夏俊杰 ZHANG Zhelong;CEN Beini;XIA Junjie(Graduate School,Zhejiang Chinese Medical University,Hangzhou 310000,Zhejiang,China;Department of Orthopedics,the 903 rd Hospital of People's Liberation Army,Hangzhou 310000,Zhejiang,China;Key Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province,Affiliated Hangzhou First People's Hospital,School of Medicine,Westlake University,Hangzhou 310006,Zhejiang,China)

机构地区：[1]浙江省中医药大学研究生院,浙江杭州310000 [2]中国人民解放军第九〇三医院骨科,浙江杭州310000 [3]西湖大学医学院附属杭州市第一人民医院浙江省肿瘤学与智能医学重点实验室,浙江杭州310006

出　　处：《世界复合医学（中英文）》2024年第9期144-147,共4页World Journal of Complex Medicine

摘　　要：目的分析胫骨平台骨折实施不同手术治疗的价值。方法选取2022年3月—2024年3月中国人民解放军第九〇三医院收治的162例胫骨平台骨折患者为研究对象,根据手术方式分为传统组(112例,传统切开复位内固定手术治疗)、微创组(50例,关节镜辅助微创手术治疗)。比较两组围术期指标、转归情况、膝关节功能优良率。结果微创组切口长度、出血量、骨折愈合时间优于传统组,差异有统计学意义(P均<0.05)。微创组关节面塌陷、成角畸形及踝部变宽评分高于传统组,差异有统计学意义(P均<0.05)。微创组膝关节功能优良率为96.00%(48/50),高于传统组的83.93%(94/112),差异有统计学意义(χ^(2)=4.655,P=0.031)。结论关节镜辅助微创手术能提升膝关节功能,改善围术期指标,缩短愈合周期,与传统手术相比优势明显。Objective To analyze the value of different surgical treatments for tibial plateau fractures.Methods A total of 162 patients with tibial plateau fractures admitted to the 903 rd Hospital of the People's Liberation Army of China from March 2022 to March 2024 were selected as the research objects.They were divided into traditional group(112 cases,traditional open reduction and internal fixation surgery)and minimally invasive group(50 cases,arthroscopic assisted minimally invasive surgery)according to the surgical methods.The perioperative indexes,transfer situation and excellent and good rate of knee joint function were compared between the two groups.Results The incision length,bleeding volume and fracture healing time of the minimally invasive group were better than those of the traditional group,and the differences were statistically significant(all P<0.05).The scores of articular surface collapse,angulation deformity and ankle widening in the minimally invasive group were higher than those in the traditional group,and the differences were statistically significant(all P<0.05).The excellent and good rate of knee joint function in the minimally invasive group was 96.00%(48/50),which was higher than 83.93%(94/112)in the traditional group,and the difference was statistically significant(χ^(2)=4.655,P=0.031).Conclusion Arthroscopic assisted minimally invasive surgery can improve knee joint function,improve perioperative indicators,and shorten the healing cycle.Compared with traditional surgery,it has obvious advantages.

关 键 词：关节镜 转归情况 胫骨平台骨折 围术期指标 微创手术 

分 类 号：R687.3[医药卫生—骨科学]