经皮加压空心螺钉内固定术治疗踝关节骨折的效果分析  

Effect Analysis of Internal Fixation of Percutaneous Compression Cannulated Screw in Treatment of Ankle Fracture

作　　者：李剑 Li Jian(Department of Orthopedics,The People's Hospital of Pizhou,Pizhou 221300,Jiangsu Province,China)

机构地区：[1]邳州市人民医院骨科,江苏邳州221300

出　　处：《中国社区医师》2025年第4期12-14,共3页Chinese Community Doctors

摘　　要：目的:分析经皮加压空心螺钉内固定术治疗踝关节骨折的效果。方法:选取2022年2月—2023年8月邳州市人民医院收治的踝关节骨折患者80例作为研究对象,随机分为对照组和观察组,每组40例。对照组实施切开复位内固定术,观察组实施经皮加压空心螺钉内固定术。对比两组治疗效果。结果:观察组治疗总有效率高于对照组(P=0.034)。观察组手术时间、住院时间、骨折愈合时间短于对照组,术中出血量少于对照组,术后下床活动时间早于对照组(P<0.05)。观察组疼痛、肿胀、淤血、不能承受体质量持续时间短于对照组(P<0.001)。观察组疼痛评分低于对照组,功能、活动度评分高于对照组(P<0.001)。观察组并发症总发生率低于对照组(P=0.034)。结论:经皮加压空心螺钉内固定术治疗踝关节骨折的效果显著,可缓解患者临床症状,改善临床指标,促进术后康复,降低并发症发生率,提高踝关节功能。Objective:To analyze the effect of internal fixation of percutaneous compression cannulated screw in treatment of ankle fracture.Methods:A total of 80 patients with ankle fracture admitted to the People's Hospital of Pizhou from February 2022 to August 2023 were selected as the study subjects.They were randomly divided into control group and observation group with 40 cases in each group.The control group underwent open reduction and internal fixation,and the observation group underwent internal fixation of percutaneous compression cannulated screw.The treatment effects of the two groups were compared.Results:The total effective rate of treatment in the observation group was higher than that in the control group(P=0.034).The operation time,the length of hospital stay and the fracture healing time in the observation group were shorter than those in the control group,the intraoperative blood loss in the observation group was less than that in the control group,and the postoperative ambulation time in the observation group was earlier than that in the control group(P<0.05).The duration of pain,swelling,blood clot and inability to bear body weight in the observation group was shorter than that in the control group(P<0.001).The pain score in the observation group was lower than that in the control group,and the scores of function and mobility in the observation group were higher than those in the control group(P<0.001).The total incidence of complications in the observation group was lower than that in the control group(P=0.034).Conclusion:Percutaneous compression cannulated screw internal fixation has significant effects in the treatment of ankle fracture,and can relieve clinical symptoms of patients,ameliorate clinical indicators,promote the postoperative rehabilitation,reduce the incidence of complications,and improve the ankle function.

关 键 词：踝关节骨折 经皮加压空心螺钉内固定术 切开复位内固定术 

分 类 号：R683[医药卫生—骨科学]