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哈尔滨医药  2021, Vol. 41 Issue (1): 6-7    
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不同手术时机治疗踝关节骨折脱位的临床观察
杨鹏, 苏海涛
濮阳县第二人民医院骨科,河南 濮阳 457002
Clinical Observation on Different Surgical Timings in the Treatment of Anklebone Fracture Disposition
Yang Peng, Su Haitao
Department of Orthopedics,The Second People's Hospital of Puyang County,Puyang 457002,China
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摘要 目的 探究不同手术时机治疗踝关节骨折脱位的临床效果。方法 选取踝关节骨折脱位患者80例为研究对象,按随机数表法分为早期组和择期组各40例。早期组行急诊手术,择期组行择期手术。比较两组患者手术及恢复情况(手术时长、住院时间、骨折愈合时间)差异;比较术前及术后6个月两组患者踝关节功能[Baird—Jackson功能评分量表、踝与后足功能评分量表(AOFAS)]、疼痛度[数字疼痛评分量表(NRS)]差异;比较术后1年内两组患者并发症发生率差异。结果 早期组手术时长、住院时间、骨折愈合时间显著低于对照组,组间比较有统计学差异(P<0.05);术后6个月时,两组患者踝关节功能较术前显著提升,且早期组评分高于同一时间择期组(P<0.05);两组患者疼痛度无统计学差异(P>0.05);术后1年内,两组患者并发症发生率比较无统计学差异(P>0.05)。结论 早期手术较择期手术用时短,可促进患者预后恢复,对踝关节功能恢复效果更佳,值得在临床推广使用。
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杨鹏
苏海涛
关键词 手术时机择期踝关节骨折脱位    
AbstractObjective To explore the clinical effects of different surgical timings in the treatment of anklebone fracture disposition.Methods Eighty patients with anklebone fracture disposition who were treated in the hospital were selected as the research subjects,and they were divided into early group and elective group according to the random number table method,with 40 cases in each group.Early group underwent emergency surgery,and elective group underwent elective surgery.The differences in surgery and recovery(operative time,hospital stay,fracture healing time) were compared between the two groups.The ankle function [Baird-Jackson Function Score Scale,American Orthopedic Foot and Ankle Society(AOFAS)] and pain level [Numerical Rating Scale(NRS)] were compared between the two groups before surgery and at 6 months after surgery.The incidence rates of complications within 1 year after surgery were compared between the two groups.Results The operative time,hospital stay and fracture healing time in early group were significantly lower than those in elective group(P<0.05).At 6 months after surgery,the ankle function in the two groups was significantly improved compared with that before surgery,and the score in early group was higher than that in elective group at the same time point(P<0.05).There was no significant difference in the pain level between the two groups(P>0.05).Within 1 year after surgery,there were no significant differences in the incidence rates of complications between the two groups(P>0.05).Conclusion Early surgery has shorter operative time than elective surgery,and it can promote the prognosis and recovery,and it has better effects on the ankle function recovery,and it is worthy of clinical promotion and application.
Key wordsSurgical timings    Elective    Anklebone fracture disposition
收稿日期: 2020-03-01     
PACS:  R816.8  
引用本文:   
杨鹏, 苏海涛. 不同手术时机治疗踝关节骨折脱位的临床观察[J]. 哈尔滨医药, 2021, 41(1): 6-7.
Yang Peng, Su Haitao. Clinical Observation on Different Surgical Timings in the Treatment of Anklebone Fracture Disposition. journal1, 2021, 41(1): 6-7.
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