摘要
目的研究新鲜闭合性跟腱断裂患者应用经皮微创手术联合Bunnell缝合法的治疗效果。方法48例新鲜闭合性跟腱断裂患者,参照随机数字表法分为对照组(22例)和实验组(26例)。对照组采用传统开放手术+Bunnell缝合法治疗,实验组采用经皮微创手术+Bunnell缝合法治疗。比较两组治疗效果、手术相关指标及术后不良事件发生情况。结果实验组治疗优良率92.31%高于对照组的68.18%,差异具有统计学意义(P<0.05)。实验组术中出血量(32.32±2.12)ml少于对照组的(56.04±3.76)ml,切口长度(2.24±0.54)cm以及手术时间(31.23±1.43)min均短于对照组的(12.32±2.21)cm、(62.43±2.15)min,差异具有统计学意义(P<0.05)。实验组术后不良事件发生率3.85%低于对照组的31.82%,差异具有统计学意义(P<0.05)。结论应用经皮微创手术联合Bunnell缝合法治疗新鲜闭合性跟腱断裂可获得良好的效果,能够有效改善术中各项指标,降低术后不良事件发生率,值得推广应用。
Objective To study the effect of percutaneous minimally invasive surgery combined with Bunnell suture in the treatment of fresh closed Achilles tendon rupture.Methods 48 patients with fresh closed Achilles tendon rupture were divided into a control group(22 cases)and an experimental group(26 cases)according to the random number table method.The control group was treated with traditional open surgery+Bunnell suture,and the experimental group was treated with percutaneous minimally invasive surgery+Bunnell suture.The therapeutic effect,surgical related indicators and postoperative adverse event of the two groups were compared.Results The rate of excellent and good treatment in the experimental group was 92.31%,which was higher than that of 68.18%in the control group,and the difference was statistically significant(P<0.05).The intraoperative blood loss of(32.32±2.12)ml in the experimental group was less than that of(56.04±3.76)ml in the control group;the incision length of(2.24±0.54)cm and operative time of(31.23±1.43)min in the experimental group were shorter than those of(12.32±2.21)cm and(62.43±2.15)min in the control group.The differences were statistically significant(P<0.05).The incidence of postoperative adverse events in the experimental group was 3.85%,which was lower than that of 31.82%in the control group,and the difference was statistically significant(P<0.05).Conclusion The use of percutaneous minimally invasive surgery combined with Bunnell suture can achieve good effect for the treatment of fresh closed Achilles tendon rupture,which can effectively improve the intraoperative indicators,reduce the incidence of postoperative adverse events.It is worthy of popularization and application.
作者
宋磊
张树立
顾怀增
SONG Lei;ZHANG Shu-li;GU Huai-zeng(Second Department of Trauma Orthopedics,Weifang Hospital of Traditional Chinese Medicine,Weifang 260014,China)
出处
《中国实用医药》
2024年第1期56-59,共4页
China Practical Medicine
基金
潍坊市卫生健康委员会科研项目(项目编号:WFWSJK-2021-061)项目名称:经皮微创应用Bunnell缝合法治疗新鲜闭合性跟腱断裂的研究。
