摘要
目的探讨L形切口治疗闭合性跟骨骨折的术后疗效及影响因素分析。方法采用回顾性分析研究方法,收集笔者医院自2010年1月~2015年1月收治并行外侧L形切口切开复位内固定术治疗闭合性跟骨骨折的患者临床资料,共150例,其中SandersⅡ、Ⅲ、Ⅳ型各50例,观察术前、术后Bohler角和Gissane角度变化值,术后切口并发症,随访术后Maryland足部评分标准,对可能影响患者术后切口并发症相关变量进行单因素分析,对差异有统计学意义的变量进行多因素Logistic回归分析。结果所有患者均完成术后随访,随访时间12~24个月,平均随访时间17个月,以Maryland评分标准进行足部功能评估,优良率为79%,术后切口并发症为16%。结论 L形切口治疗闭合性跟骨骨折SandersⅡ~Ⅳ术后优良率较高,探索影响术后切口并发症的相关因素,发现吸烟、糖尿病、手术时长、受伤至手术时间可使术后切口并发症增加。
Objective To discuss the efficacy and influencing factors of L shaped incision for the treatment of closed calcaneal fractures after operation. Methods The study was used retrospective analysis method, collected with a total of 150 cases in a hospital from January 2010 to January 2015 from the L shaped parallel lateral incision open reduction and internal fixation for the treatment of the clinical data of the patients with closed calcaneal fracture, including SandersⅡ, Ⅲ, Ⅳ 50 cases, observed before, the value changes of Bohler angle and Gissane angle of postoperative incision, postoperative complications, used Maryland standard for evaluation of foot to make single factor analysis of related variables affecting incision complications of patients after surgery, and multivariate logistic regression analysis of the difference with statistically significant variables. Results The follow-up was done with all patients, the time from 12 to 24 months, 17 months in average, with Maryland standard for evaluation of foot function assessment, the excellent rate was 79 %, with 16% postoperative wound complications. Conclusion L shaped incision in the treatment of closed calcaneal fracture SandersⅡ-Ⅳ of the excellent rate is high, but postoperative wound complications is also high, and smoking, diabetes, operation duration, and the time from injury to surgery are the factors of wound complications after operation.
出处
《医学研究杂志》
2017年第5期39-42,共4页
Journal of Medical Research
基金
国家自然科学基金资助项目(81260453
81360451)
新疆兵团医药卫生专项资助(2013BA020)
兵团国际交流与合作专项资助(2012BC002
2011BC004)
兵团科技创新团队专项基金资助项目(2014CC002)
兵团青年科技创新领军人才专项(2016BC001)
关键词
闭合性跟骨骨折
切开复位内固定术
术后切口并发症
Closed fracture of calcaneus
Open reduction and internal fixationopen reduction
Postoperative incision complications
