摘要
目的探讨解剖钢板治疗Pilon骨折的临床疗效,以期为临床Pilon骨折提供更科学的治疗方法。方法选取该院2017年6月—2018年6月收治的102例Pilon骨折行解剖钢板治疗的患者作为该次研究主体,其中,Ruedi分型有,Ⅰ型22例,Ⅱ型41例,Ⅲ型39例。所有患者均按照术前准备、手术、术后治疗3个环节进行,观察总的手术治疗优良率与不同Ruedi分型患者的手术治疗优良率。结果 102例患者中,总的手术优良率为84.31%;不同Ruedi分型的骨折患者的手术优良率比较,Ⅰ型90.91%>Ⅱ型85.37%>Ⅲ型79.49%,但两两相比,差异无统计学意义(P>0.05);不同Ruedi分型的骨折患者的手术基本情况比较,Ⅰ型患者的手术时间与术中出血量小于Ⅱ型与Ⅲ型患者,但组间差异无统计学意义(P>0.05);Ⅱ型与Ⅲ型患者的手术时间与术中出血量相比,差异无统计学意义(P>0.05)。结论解剖钢板对Pilon骨折患者具有较高的治疗价值,临床可根据患者的实际情况选择该种治疗方法。尤其对于Ruedi分型为Ⅰ型的患者,其治疗效果相对较好。
Objective To study the clinical curative effect of anatomic plate in treatment of Pilon fracture to provide more scientific treatment method of clinical Pilon fracture.Methods 102 cases of patients with Pilon fracture treated with anatomic plate admitted and treated in our hospital from June 2017 to June 2018 were selected as the research objects,and the Ruedi type included 22 cases in the type I,41 cases in the type II,and 39 cases in the type II,and all patients were conducted through the preoperative preparation,intraoperative treatment and postoperative treatment,and the total treatment excellent and good rate in the observation and the operative treatment excellent and good rate of patients with different Ruedi type were observed.Results Of 102 cases of patients,the total excellent and good rate was 84.31%,and the operative excellent and good rate of patients with different Ruedi types showed that the type I 90.91%>type II 85.37%>type III 79.49%,and the differences were not statistically significant(P>0.05),and the operative time and intraoperative bleeding amount of patients in type I was lower than that in type II and type III,and the differences between the two groups were not statistically significant(P>0.05),and the differences in the operative time and intraoperative bleeding amount between the patients in type II and patients in type II were not statistically significant(P>0.05).Conclusion The anatomic plate has a higher treatment value of patients with Pilon fracture,and we should select the treatment method according to the practical conditions,especially for the patients in type I according to the Ruedi type,and the treatment effect is relatively better.
作者
陈伟
CHEN Wei(Shengjing Hospital Affiliated to China Medical University Dalian Hospital,Dalian,Liaoning Province,116600 China)
出处
《系统医学》
2019年第1期1-3,共3页
Systems Medicine
关键词
解剖钢板
PILON骨折
临床疗效
手术
Anatomic plate
Pilon fracture
Clinical curative effect
Operation
