关节镜辅助下球囊成形术在胫骨平台骨折患者中的应用效果及对肢体功能的影响研究

Effect of arthroscopic assisted balloon angioplasty in patients with tibial plateau fractures and its effect on limb function

摘要:

探讨对胫骨平台骨折患者（FTP）行关节镜下球囊成形术治疗的效果及对患者术后肢体功能恢复产生的影响。方法  选取2015年4月-2016年8月在该院收治的全部68例FTP患者为研究对象，所有患者按照随机数字表法分为观察组（关节镜下球囊成形术治疗）和对照组（传统切开手术治疗），对两组疗效、患者肢体功能恢复效果进行回顾性分析。结果 观察组相关手术指标（术中出血量、手术时间、术后下床活动时间和术后引流量）均明显优于对照组，膝关节功能恢复优良率为92.18%，明显高于对照组的70.59%，术后生活质量评价量表（SF-36）评分明显高于对照组（P <0.05）。结论 在关节镜辅助下对FTP患者行球囊成形术治疗，疗效更为确切，可使患者肢体功能得到更大程度改善，提高患者生活质量。

Abstract:

To investigate the effect of arthroscopic balloon angioplasty on the recovery of limb function in patients with tibial plateau fractures (FTP). Methods Sixty-eight patients with FTP were enrolled from April 2015 to August 2016. The patients were divided into control group (traditional incisional surgery) and observation group (arthroscopic balloon angioplasty) by random number method. The efficacy and the recovery of limb function in patients of the two groups,with a retrospective analysis. Results The excellent operative rate (92.18%) in observation group was significantly higher than that in control group (70.59%), and the operative rate was significantly higher than that in control group (P < 0.05). The surgical parameters (the amount of bleeding, the time of operation, the time of getting out of bed and the postoperative flowrate) in observation group were significantly better than those in control group. The SF-36 score of observation group was significantly higher than the control group (P < 0.05). Conclusion In the treatment of arthroplasty with bronchial angioplasty, the curative effect is more accurate, which can improve the patient’s limb function and improve the patients.