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创伤骨科运用微创技术的临床疗效 被引量:2

Clinical efficacy of minimally invasive techniques in traumatic orthopedics
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摘要 目的:对微创技术在创伤骨科中的临床效果进行分析和比较.方法:选择我院在2018年3月-2019年3月期间收治的90例创伤骨科患者作为本次研究的纳入对象,按照患者病历单双号将其划分为2组,对照组45例,观察组45例.采用常规治疗的方式对对照组予以治疗,采用微创技术对观察组予以治疗,对2组患者的治疗效果予以分析和比较.结果:对照组术中出血量为(185.9±22.7)ml,手术时间为(92.3±12.1)ml,切口愈合时间为(33.5±6.6)天,住院时间为(6.1±1.2)周,观察组的术中出血量为(101.5±18.1)ml,手术时间为(63.8±7.4)ml,切口愈合时间为(19.2±4.9)天,住院时间为(3.1±0.7)周,观察组的各项手术指标均明显优于对照组,2组患者相比差异显著(P<0.05),具有统计学意义.对照组中有4例愈合不良,4例肿胀,3例切口感染,术后并发症发生率为22.2%,观察组中有1例愈合不良,1例肿胀,无切口感染,术后并发症发生率为4.4%.观察组的术后并发症发生率明显低于对照组,2组患者相比差异显著(P<0.05),具有统计学意义.结论:在创伤骨科的临床治疗中应用微创技术具有十分确切的效果,不仅创伤小,还可以促进患者的术后康复,具有较高的安全性. Objective:To analyze and compare the clinical effects of minimally invasive techniques in trauma orthopedics.Methods:Ninety patients with traumatic orthopedics admitted to our hospital from March 2018 to March 2019 were enrolled as subjects in this study.They were divided into two groups according to the patients medical record,and the control group was 45 patients.45 cases.The control group was treated by conventional treatment,and the observation group was treated with minimally invasive technique.The therapeutic effects of the two groups were analyzed and compared.Results:In the control group,the intraoperative blood loss was(185.9±22.7)ml,the operation time was(92.3±12.1)ml,the incision healing time was(33.5±6.6)days,and the hospitalization time was(6.1±1.2)weeks.The amount of bleeding was(185.9±22.7)ml,the operation time was(92.3±12.1)ml,the incision healing time was(33.5±6.6)days,and the hospitalization time was(6.1±1.2)weeks.The surgical indexes of the observation group were obvious.Compared with the control group,the difference between the two groups was significant(P<0.05),which was statistically significant.In the control group,4 cases were poorly healed,4 cases were swollen,and 3 cases were infected with incision.The postoperative complication rate was 22.2%.In the observation group,1 case was poorly healed,1 case was swollen,no incision infection,and postoperative complications occurred.The rate was 4.4%.The incidence of postoperative complications in the observation group was significantly lower than that in the control group.The difference between the two groups was significant(P<0.05),which was statistically significant.Conclusion:The application of minimally invasive technique in the clinical treatment of trauma orthopedics had very precise effects.It not only had small trauma,but also promotes postoperative rehabilitation of patients,and had high safety.
作者 薛巨涛 黄启刚 XUE Ju-too;Huang Qi-gang(Department of Orthopaedics,The Beicheng Hospital of Juye County of Heze City,Shandong Province,China,Juye,Shandong 274900,China)
出处 《中国伤残医学》 2020年第14期10-12,共3页 Chinese Journal of Trauma and Disability Medicine
关键词 创伤骨科 微创技术 常规治疗 手术时间 骨折愈合 并发症 Trauma orthopedics Minimally invasive technique Conventional treatment Operation time Fracture healing Complications
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