传统 L形切口钢板固定与经跗骨窦切口钢板 固定治疗跟骨骨折患者的对比研究  

Comparative Study of Traditional L-shaped Incision plate Fixation and Tarsal Sinus Incision Plate Fixation in the Treatment of Calcaneal Frac⁃tures

作　　者：闫强 YAN Qiang(Department of Orthopaedics,Suqian First People's Hospital,Suqian 223800,Jiangsu,China)

机构地区：[1]宿迁市第一人民医院骨科,江苏宿迁223800

出　　处：《系统医学》2024年第20期108-111,共4页Systems Medicine

摘　　要：目的对比传统L形切口钢板固定与经跗骨窦切口钢板固定治疗对跟骨骨折患者的效果。方法非随机选取2021年7月—2023年1月宿迁市第一人民医院收治的78例跟骨骨折患者作为研究对象,根据手术方法不同将其分为对照组与观察组,各39例。对照组采用传统L形切口钢板固定术,观察组采用经跗骨窦切口钢板固定术。对比两组围术期相关指标、术后足部功能恢复情况、术后并发症发生情况。结果观察组围术期各项指标均优于对照组,差异有统计学意义(P均<0.05)。两组患者术后足部功能恢复情况对比,差异无统计学意义(P>0.05)。观察组术后出现并发症的概率为2.56%(1/39),低于对照组的20.51%(8/39),差异有统计学意义(χ^(2)=6.155,P<0.05)。结论经跗骨窦切口钢板固定与传统L形切口治疗固定治疗对比优势显著,出血更少,手术及住院时间缩短,加速骨折愈合,促进术后康复,安全性高,并发症风险低于传统术式,值得临床借鉴。Objective The effect of traditional L-shaped incision plate fixation and tarsal sinus incision plate fixation on patients with calcaneal fractures was compared.Methods A total of seventy eight patients with calcaneal fractures admitted to Suqian First People's Hospital from July 2021 to January 2023 were non-randomly selected as the re⁃search objects.According to different surgical methods,they were divided into control group and observation group,with thirty nine cases in each group.The perioperative related indexes,postoperative foot function recovery and post⁃operative complications were compared between the two groups.Results The perioperative indexes of the observation group were better than those of the control group,and the differences were statistically significant(all P<0.05).There was no statistically significant difference in the recovery of foot function between the two groups(P>0.05).The prob⁃ability of postoperative complications in the observation group was 2.56%(1/39),which was lower than 20.51%(8/39)in the control group,and the difference was statistically significant(χ^(2)=6.155,P<0.05).Conclusion Compared with the traditional L-shaped incision treatment,the tarsal sinus incision plate fixation has significant advantages,less bleeding,shorter operation and hospitalization time,accelerated fracture healing,promoted postoperative rehabilita⁃tion,high safety,and lower risk of complications than the traditional operation.It is worthy of clinical reference.

关 键 词：传统L形切口 跟骨骨折 功能康复 钢板固定 经跗骨窦切口 

分 类 号：R687.3[医药卫生—骨科学]