通道辅助微创缝合系统与传统切开修复手术治疗急性闭合性跟腱断裂的疗效比较
Comparison of therapeutic effects between channel assisted minimally invasive suture system and traditional open repair surgery for acute closed Achilles tendon rupture
廖飞勇 1艾时刚 1朱跃光 1张令弘 1吕根1
作者信息
- 1. 景德镇市第三人民医院急诊外科创伤中心骨科,江西 景德镇 333000
- 折叠
摘要
目的:分析通道辅助微创缝合系统(CAMIR)与传统切开修复手术治疗急性闭合性跟腱断裂的疗效.方法:前瞻性随机对照研究.选择 2022 年 9 月～2023 年 3 月景德镇市第三人民医院收治的 60 例急性闭合性跟腱断裂患者,按照随机数字表法分为CAMIR组和对照组,各 30 例.对照组使用传统切开手术,CAMIR组使用CAMIR修复术.比较两组患者临床指标、术后美国矫形外科足踝协会(AOFAS)评分及并发症.结果:CAMIR组切口长度、手术时间、术中出血量和住院时间均小于对照组,差异有统计学意义(P＜0.05).两组术后AOFAS评分呈上升趋势,术后 12 m均高于术后 3 m,CAMIR组术后 3 mAOFAS评分高于对照组,差异均有统计学意义(P＜0.05);两组术后 12 mAOFAS评分比较,差异无统计学意义(P＞0.05).两组患者并发症发生率比较,差异无统计学意义(P＞0.05).结论:在急性闭合性跟腱断裂治疗中,CAMIR修复术与传统切开修复手术相比,其远期疗效无显著差异,但 CAMIR 修复术可有效减少术中出血量、缩短手术时间、改善早期足踝功能,促进患者康复,安全可行.
Abstract
Objective:To analyze the efficacy of channel assisted minimally invasive suturing system(CAMIR)and traditional open repair surgery in the treatment of acute closed Achilles tendon rupture.Methods:A prospective randomized controlled study.Sixty patients with acute closed Achilles tendon rupture admitted to the Third People's Hospital of Jingdezhen City from September 2022 to March 2023 were randomly divided into a CAMIR group and a control group,with 30 cases in each group,using a random number table method.The control group underwent traditional incision surgery,while the CAMIR group underwent CAMIR repair surgery.Compare clinical indicators,postoperative AOFAS scores,and complications between two groups of patients.Results:The incision length,surgical time,intraoperative bleeding,and hospital stay in the CAMIR group were all smaller than those in the control group,and the differences were statistically significant(P<0.05).The postoperative AOFAS scores of the two groups showed an upward trend,with higher scores at 12 months postoperatively than at 3 months postoperatively.The CAMIR group had higher AOFAS scores at 3 months postoperatively than the control group,and the differences were statistically significant(P<0.05);There was no statistically significant difference in AOFAS scores between the two groups at 12 months after surgery(P>0 05).There was no statistically significant difference in the incidence of complications between the two groups of patients(P>0 05).Conclusion:In the treatment of acute closed Achilles tendon rupture,there is no significant difference in long-term efficacy between CAMIR repair surgery and traditional open repair surgery.However,CAMIR repair surgery can effectively reduce intraoperative bleeding,shorten surgical time,improve early foot and ankle function,promote patient recovery,and is safe and feasible.
关键词
通道辅助微创缝合系统/传统切开修复手术/急性闭合性跟腱断裂/疗效/足踝功能Key words
Channel assisted minimally invasive suture system/Traditional incision repair surgery/Acute closed Achilles tendon rupture/Therapeutic effect/Ankle function引用本文复制引用
出版年
2024
NETL
NSTL
万方数据