比较踝关节骨折采用手术治疗和手法复位治疗的效果

吴增良++吴旭东++卫斌++王小忠

DOI：10.16662/j.cnki.1674-0742.2017.23.048

[摘要] 目的 分析踝关节骨折应用手术与手法复位治疗的临床效果。方法 随机选取2014年1月—2016年11月在该院治疗的踝关节骨折患者60例，分为手术治疗组和手法复位治疗组，比较两组患者的治疗效果。结果 手法复位治疗组住院时间短于手术治疗组，但骨折愈合时间长于手术治疗组，差异有统计学意义（P<0.05）。手术组踝关节功能恢复优良率为93.34%，手法复位组优良率为90.00%，组间差异无统计学意义（P>0.05）。两组并发症比较，差异无统计学意义（P>0.05）。结论 手术治疗与手法复位治疗踝关节骨折均具有较好疗效，均有助于患者踝关节功能恢复，手法复位具有简便性和经济性，手术治疗能够缩短骨折愈合时间。

[关键词] 手术治疗；踝关节骨折；手法复位；临床效果

[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2017）08（b）-0048-03

Comparison of the Curative Effect of Surgery and Manipulative Reduction Treating for Ankle Fracture

WU Zeng-liang， WU Xu-dong， WEI Bin， WANG Xiao-zhong

Department of Orthopedics and Traumatology， Jiangdu Hospital of TCM， Yangzhou， Jiangsu Province， 225200 China

[Abstracts] Objective This paper tries to analyze the clinical effect of surgery and manipulative reduction treatment for ankle fracture. Methods 60 patients with ankle fracture treated in this hospital from January 2014 to November 2016 were random selected and divided into two groups， the surgical treatment group and the manipulative reduction group. The treatment effect of the two groups was compared. Results The length of stay of the manipulative reduction group was shorter than that of the surgical treatment group， but the fracture healing time was longer than that of the surgical treatment group， so the difference was statistically significant（P<0.05）. The excellence rate of ankle function recovery of the surgical group was 93.34%， and that of the manipulative reduction group was 90.00%， with no evident difference（P>0.05）. There was no difference in the complications of the two groups（P>0.05）. Conclusion Both the surgery and manipulative reduction for treating ankle fracture have good efficacy， and help to recover the ankle fracture， the manipulative reduction is easy and economic， and the surgery treatment can reduce fracture healing time.

[Key words] Surgical treatment； Ankle fracture； Manipulative reduction； Clinical effect

随着交通事业的不断发展，交通事故所致踝关节骨折患者数量也在逐年上升，踝关节骨折是骨科常见骨折类型，作为人体承重和活动的主要关节，踝关节骨折后会给人们的正常工作、生活造成极大影响。手术与非手术治疗是踝关节骨折常用治疗方法，克氏针、螺钉等常用手术治疗方法，手法复位石膏外固定使常用非手术治疗方法[1]，这些治疗方法均具有各自的优劣势，为了解手术与手法复位在踝关节骨折治疗中的应用效果，该文随机选取了2014年1月—2016年11月收治的60例踝关节骨折患者进行研究，现报道如下。

1 资料与方法

1.1 一般资料

随机选取该院治疗的踝关节骨折患者中选取60例，所有患者均经详细检查确诊为踝关节骨折。根据自愿原则，将患者分为手术治疗组与手法复位组保守治疗组均在门诊治疗，各30例。手術……