摘要
目的探讨关节镜下手术治疗踝关节创伤性关节炎的临床效果。方法选择郑州市骨科医院自2014年6月至2016年6月收治的52例踝关节创伤性关节炎患者为研究对象并根据患者意愿分为对照组和微创组。对照组接受开放式踝关节融合术治疗,微创组接受关节镜下踝关节融合术治疗。比较两组间手术前后骨性融合率、疼痛视觉模拟评分(VAS评分)和美国足踝外科协会踝与后足评分(AOFAS评分)差异。结果术后6个月时微创组骨性融合率明显高于对照组,差异具有统计学意义(77.8%vs.36.0%,χ~2=5.576,P<0.05),术后1年时两组骨性融合率均达到100%。术后6个月微创组VAS评分明显低于对照组,AOFAS评分明显高于对照组,差异均有统计学意义(均P<0.05),术后1年两组间VAS评分和AOFAS评分差异无统计学意义(均P>0.05)。结论关节镜下踝关节融合术治疗踝关节创伤性关节炎临床效果明显优于开放式手术,值得在临床中推广应用。
Objective To discuss the clinical effect of surgical treatment for traumatic arthritis under arthroscopy.Methods Totally 52 cases with traumatic arthritis admitted at our hospital from 2014 June to 2014 June were selected and divided into the control group and minimally invasive group.The patients of control group were given open ankle arthrodesis treatment while the patients of control group were given surgical treatment under arthroscopy.Compared osseous fusion rate,pain,visual analogue scale（VAS scores） and the American association of ankle surgery after the ankle and foot score（AOFAS scores） between the two groups.Results Six months after treatment,the osseous fusion rate of minimally invasive group was obviously higher than that of control group（77.8% vs.36.0%,χ~2= 5.576,P 0.05） and the osseous fusion rate of all patients got to 100% one year after treatment.Six months after treatment,the VAS scores of minimally invasive group were obviously lower and AOFAS scores higher than that of control group（all P 0.05）.the differences were no statistically significant about VAS scores and AOFAS scores after one year for all patients（P 0.05）.Conclusion The clinical effect of surgical treatment for traumatic arthritis under arthroscopy is remarkable and it is better than that of surgical treatment,is worth popularization and application.
出处
《医药论坛杂志》
2017年第11期70-72,共3页
Journal of Medical Forum
