两种方法治疗sandersⅱ型跟骨骨折疗效及成本—效果分析论文

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1、C11n1ea1effeetandCost一efect1venessAna1ys15oftwomethods1ntheTreatmentofSanders11FraetureofCa1caneusSPee1a11ty:OrthoPaediesofTCMAuthor:QiShubinTutor:Prof.WangMingxiAbstFaCtobjeetive:Toevaluateeost一efeetivenessofpokingreduetionandopenreduetionintreatingSanders11FraetureofCaleaneus.Methods:80Patients

2、withSanders11FraetureofCaleaneuswereseleetedfromShandongProvineialHosPitalofTraditionalChineseMedieineandrandomlydividedintoPokingreduetiongrouPandoPenreduetiongrouPwith40easesineaehgrouP.Therewere26maleand14femaleinpokingreduetiongrouPand30maleand10femaleinoPenreduetiongrouP.B6hlerangle，Gissanea

3、ngle，eentralwidthoftheealeaneus，staneePhase，HM一HL，arehindexandsubtalairjointflexibilityweremeasured，ExeellentandgoodrateweredeterminedbyMarylandFootSeore.TheeliniealresultsandexPensesofthetwotreatmentsehemeswereeomParedandeoneludedwiththemethodofeost一effeetivenessanalysis.Results:B6hleranglewere3

4、0.32and30.54，Gissaneanglewere133.73and134.86，eentralwidthoftheealeaneuswere30.18mmand30.24rfirn，staneePhasewere0.6795and0.7155，HM一HLwere一36.49and一34.32，arehindexwere30.26and30.47andsubtalairjointflexibilitywere10.53and10.89respeetively，Exeellentandgoodratewereboth90%.Theeost一efeCtiveneSSratio(C/E

5、)were6.06and136.19resPeetively.Conelusion:Cost一efeetivenessratioofthePokingreduetion15suPeriortothatoftheoPenreduetionintreatingSanders11FraetureofCaleaneus.Pokingreduetion15ausefulmethodtotreatSanders11FraetureofCaleaneuswithraPidwoundhealingandlesseost.Keywordsealeanealfraeture;Sanders11;Poking

6、reduetion;in七ernalfixation;Cost一efeetivenessanalysis目录引言.…临床研究....……一、一般资料.................................................……2(一)病例来源........……(二)一般情况........……二、病例选择....·················……”’“‘(一)诊断标准............·············……(二)骨折分类.......··················……(三)临床病例选择标准..............···……三、治疗方法

7、.......···················……’(一)闭合撬拔复位术..................·……(二)切开复位钢板内固定术.........·..·……四、疗效评定......................·····……(一)X线的评价…，...........········……(二)足部功能评价..........·..········……(三)步态分析参数..............·······……