摘要
目的分析急诊手术与择期手术治疗跟骨骨折的临床效果。方法选取2012年7月至2021年7月于山东省昌乐县人民医院行跟骨骨折手术治疗的69例患者为研究对象,52例患者行急诊手术,17例患者行择期手术。对比急诊手术与择期手术的疗效。结果急诊手术在手术时间、住院天数及住院费用等方面优于择期手术(P<0.05),术中出血及术后引流量与择期手术相比,差异无统计学意义(P>0.05)。急诊手术与择期手术术后并发症发生率差异无统计学意义(P>0.05)。术前及术后3个月、6个月、12个月,急诊手术与择期手术视觉模拟评分法(visual analogue scale,VAS)评分及美国足踝外科协会(American Orthopedic Foot and Ankle Society,AOFAS)踝-后足功能评分比较,差异均无统计学意义(P>0.05)。结论伤后6 h内入院的跟骨骨折患者急诊行切开复位内固定术安全有效。
Objective To analyze the clinical effect of emergency operation and selective operation in the treatment of calcaneal fractures.Methods A total of 69 patients who underwent calcaneal fracture surgery in Changle County People's Hospital of Shandong Province from July 2012 to July 2021 were selected as the study subjects,52 patients underwent emergency surgery,17 cases of patients undergoing elective surgery.The efficacy of emergency operation and elective operation were compared.Results Emergency operation was superior to elective operation in terms of operation time,hospitalization days and hospitalization expenses(P<0.05).There was no significant difference in intraoperative bleeding and postoperative drainage between the two groups(P>0.05).There was no significant difference in the incidence of postoperative complications between emergency surgery and elective surgery(P>0.05).Emergency operation and postoperative elective surgical procedures for 3 months,6 months,12 months visual analogue scale method(VAS)score and the American Orthopedic Foot and Ankle Society(AOFAS)ankle-hindfoot function score showed no significant difference between the two groups(P>0.05).Conclusion It is safe and effective to perform emergency open reduction and internal fixation for calcaneal fracture patients admitted to hospital within 6 hours after injury.
作者
李师江
李同春
吴韦强
Li Shijiang;Li Tongchun;Wu Weiqiang(Department of Hand and Foot Surgery,Changle County People's Hospital,Shandong Weifang 262400,China)
出处
《足踝外科电子杂志》
2024年第2期1-5,共5页
Electronic Journal of Foot and Ankle Surgery
基金
潍坊市卫健委科研项目计划(WFWSJK-2023-150)。
关键词
跟骨骨折
急诊跟骨手术
择期跟骨手术
临床效果
calcaneal fracture
emergency calcaneal operation
elective calcaneal operation
clnical effect
