摘要
目的探讨三种手术方法治疗复杂胫骨平台骨折的疗效分析以及远期膝关节Lysholm评分比较。方法 2014年6月~2015年6月,本院收治的符合纳入标准的复杂胫骨平台骨折的患者120例随机分为Ⅰ、Ⅱ、Ⅲ组,每组40例患者。比较三组手术方式的手术时间及出血量,术后疼痛情况、住院时间以及术后3月、6月膝关节Lysholm评分。结果三组患者手术时间、出血量、VAS评分、住院时间的比较,差异均无统计学意义（P〉0.05）。术后3个月三组患者膝关节Lysholm评分比较,差异有统计学意义（P〈0.05）。组内两两比较时,、Ⅱ比较和Ⅱ、Ⅲ比较,差异有统计学意义（P〈0.05）。Ⅰ、Ⅲ比较,差异无统计学意义（P〉0.05）。术后6个月三组患者膝关节Lysholm评分比较,差异有统计学意义（P〈0.05）。组内两两比较时,Ⅰ、Ⅲ比较和Ⅱ、Ⅲ比较,差异有统计学意义（P〈0.05）。Ⅰ、Ⅱ比较,差异无统计学意义（P〉0.05）。结论三种手术方式治疗复杂胫骨平台骨折就术后3月内恢复效果来看,术中保护鹅足对患者膝关节功能恢复明显优于其他方式。但在术后6个月时,修复重建鹅足组的膝关节功能也有较好的恢复。
Objective To study the efficacy of three surgical treatment of complex tibial plateau fracture and postoperative Lysholm knee scores.Methods From June 2014 to June 2015,in line with our hospital were included in the standard complex tibial plateau fractures 120 cases were randomly divided intoⅠ,Ⅱ,Ⅲ groups of 40 patients.Comparison of the three groups of surgical operation time and amount of bleeding,postoperative pain,the hospital stay,hospital satisfaction,and after 3 months,6 months Lysholm knee score.Results Three groups of patients operative time,blood loss,VAS score compared hospitalization time,the difference was not statistically significant （P〉0.05）.After 3 months,the three groups of patients Lysholm knee score,the difference was statistically significant（P〈0.05）.In the two groups compared,Ⅰ,Ⅱ and compare Ⅱ,Ⅲ,the difference was statistically significant（P〈0.05）.Ⅰ,Ⅲ,the difference was not statistically significant（P〉0.05）.After 6 months,three groups of patients Lysholm knee score,the difference was statistically significant（P〈0.05）.Conclusion Three kinds of surgical treatment of complex tibial plateau fractures have a better therapeutic effect.But the effect of postoperative recovery 3 months, the goose foot surgery on a patient＇s knee protection function recovery was significantly better than the other way. But in 6 months after surgery,reconstruction goose foot group knee function and it has a good recovery.
出处
《现代诊断与治疗》
CAS
2016年第12期2178-2180,共3页
Modern Diagnosis and Treatment
