闭合穿针治疗老年胫腓骨远端骨折的疗效观察

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1、闭合穿针治疗老年胫腓骨远端骨折的疗效观湖南医药学院第一附属医院创伤外科湖南怀化418000【摘要】目的：探讨闭合穿针治疗老年胫腓骨远端骨折的疗效。方法：选取86例老年胫腓骨远端骨折患者作为研究对象，随机进行分组；观察组采取闭合穿针治疗，对照组采取切开复位内固定治疗；对比两组患者治疗前后生活质量和踝关节评分，综合评价患者的骨折愈合质量，并作对比分析。结果：治疗前，两组患者的生活质量评分、踝关节功能、疼痛、步态、活动度评分差异无统计学意义(P>0.05)；治疗后，观察组患者的生活质量评分、踝关节功能、疼痛、步态、活

2、动度评分明显高于对照组，差异具有统计学意义(P<0.05)；观察组骨折愈合优良率为88.37%,大于对照组的62.79%,经χ2检验，差异具有统计学意义(P<0.05)。结论：闭合穿针治疗老年胫腓骨远端骨折的疗效确切，可明显提高骨折愈合质量，对于改善生活质量和踝关节功能只有积极作用。【关键词】胫腓骨远端骨折；闭合穿针；疗效EfficacyclosedpinningthetreatmentofsenilefractureofdistaltibiaandfibulaZhangRenmingZhangKeyu

3、nZhuJianTianKeliangLiuJunQuZheMedicalschoolfirstaffiliatedhospitalofhunantraumasurgeryHuaihuacity,hunanprovince418000[Abstract]Objective：Toinvestigatethetreatmentofelderlyclosureneedledistaltibiaandfibulafractures.Methods：86casesofdistaltibiaandfibulafractur

4、esinelderlypatientsasresearchsubjectswererandomlygrouped；observationgrouphasaclosedneedletreatment,thecontrolgroupreceivedopenreductionandinternalfixation；comparedtwogroupsofpatientsbeforeandaftertreatmentandqualityoflifescoreanklecomprehensiveevaluationofth

5、epatient’squalityoffracturehealing,andforcomparativeanalysis.Results：Beforetreatment，thetwogroupsofpatientsqualityofliferatings,anklejointfunction，pain,gait,activityscorewasnosignificantdifference(P>0.05);Aftertreatment，patientsobservedqualityoflifescores

6、,ankle,pain,gait，activityscoresweresignificantlyhigher，thedifferencewasstatisticallysignificant(P<0.05)；theobservationgroupwas88.37%superiorfracturehealing，greaterthan62.79%inthecontrolgroup，theχ2test，thedifferencewasstatisticallysignificance(P<O.O

7、5).Conclusion:Closedpinningthetreatmentofseniledistaltibiaandfibulafractureefficacy,cansignificantlyimprovethequalityoffracturehealing,forimprovingthequalityoflifeandanklefunctionhasapositiveeffect.Keywords：fractureofdistaltibiaandfibula；closedpin；Efficacy胫腓

8、骨远端骨折是指远端胫腓骨遭受暴力刺激或扭伤而出现明显移位，肢体缩短，甚至粉碎性骨折［1】。对于老年胫腓骨远端骨折患者，常合并不同程度的骨折疏松，II骨折病灶的软组织条件较差，不利于骨折愈合。切开复位内固定作为治疗老年胫腓骨远端骨折的常规方法，但对患者的创伤性大，骨折愈合周期长，且预后影响因素多。近年来，闭合穿针逐渐用于治疗老年胫腓骨远端骨折，疗效得到广泛认可，预后良好，并发症发生少。对