| 摘要: |
| ［摘要］ 目的 观察关节镜手术治疗踝关节骨折后创伤性关节炎的临床效果。方法 在2014-02～2016-09渑池县人民医院骨科收治踝关节骨折后创伤性关节炎患者中随机抽取关节镜手术患者44例作为观察组，传统开放手术44例作为对照组，比较两组治疗效果、手术时间、术中出血量、康复时间和并发症发生情况。结果 观察组疗效优于对照组(P<0.05)；观察组手术时间、术中出血量、康复时间分别为（50.15±6.52）min、（55.67±11.41）ml、（6.01±1.27）d，对照组分别为（78.69±7.74）min、（85.51±9.78）ml、（10.48±2.36）d，两组比较差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组（P<0.05）。结论 踝关节骨折后创伤性关节炎患者接受关节镜手术能提高疗效，缩短手术时间，加快康复速度，值得推广。 |
| 关键词: 关节镜手术 踝关节骨折 创伤性关节炎 |
| DOI：10.3969/j.issn.1674-3806.2019.03.21 |
| 分类号:R 683.42 |
| 基金项目: |
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| Observation of clinical effect of arthroscopy in treatment of traumatic arthritis after ankle joint fracture |
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RAN Yan-hui
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Department of Orthopedics, the People′s Hospital of Mianchi County, Henan 472400, China
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| Abstract: |
| ［Abstract］ Objective To observe the clinical effect of arthroscopy in treatment of traumatic arthritis after the ankle fracture. Methods From February 2014 to September 2016, 44 patients with traumatic arthritis after ankle fracture treated in our department were selected as the observation group. 44 cases receiveing traditional open surgery were taken as the control group. The curative effect, operation time, intraoperative blood loss, recovery time and complicutions were compared between the two groups. Results The curative effect of the observation group was better than that of the control group（P<0.05）. The improvements of the operation time, the amount of intraoperative bleeding, recovery time in the observation group were better than those in the control group ［(50.15±6.52)min vs (78.69±7.74)min, (55.67±11.41)ml vs (85.51±9.78)ml, (6.01±1.27)d vs (10.48±2.36)d］ (P<0.05). The incidence of complications in the observation group was lower than that in the control group（P<0.05）. Conclusion Arthroscopic surgery can improve the curative effect, shorten the operative time and promote the recovery for the patients with traumatic arthritis after ankle fracture. |
| Key words: Arthroscopy Ankle joint fracture Traumatic arthritis |
