足踝外科电子杂志2024,Vol.11Issue(2) :1-5.

跟骨骨折急诊手术与择期手术的临床效果比较

Comparison of clnical effect between emergency operation and elective operation for calcaneal fracture

李师江 李同春 吴韦强
足踝外科电子杂志2024,Vol.11Issue(2) :1-5.

跟骨骨折急诊手术与择期手术的临床效果比较

Comparison of clnical effect between emergency operation and elective operation for calcaneal fracture

李师江 1李同春 1吴韦强1
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作者信息

  • 1. 山东省昌乐县人民医院手足外科,山东潍坊 262400
  • 折叠

摘要

目的 分析急诊手术与择期手术治疗跟骨骨折的临床效果.方法 选取2012年7月至2021年7月于山东省昌乐县人民医院行跟骨骨折手术治疗的69例患者为研究对象,52例患者行急诊手术,17例患者行择期手术.对比急诊手术与择期手术的疗效.结果 急诊手术在手术时间、住院天数及住院费用等方面优于择期手术(P<0.05),术中出血及术后引流量与择期手术相比,差异无统计学意义(P>0.05).急诊手术与择期手术术后并发症发生率差异无统计学意义(P>0.05).术前及术后3个月、6个月、12个月,急诊手术与择期手术视觉模拟评分法(visual analogue scale,VAS)评分及美国足踝外科协会(American Orthopedic Foot and Ankle Society,AOFAS)踝-后足功能评分比较,差异均无统计学意义(P>0.05).结论 伤后6 h内入院的跟骨骨折患者急诊行切开复位内固定术安全有效.

Abstract

Objective To analyze the clinical effect of emergency operation and selective operation in the treatment of calcaneal fractures.Methods A total of 69 patients who underwent calcaneal fracture surgery in Changle County People's Hospital of Shandong Province from July 2012 to July 2021 were selected as the study subjects,52 patients underwent emergency surgery,17 cases of patients undergoing elective surgery.The efficacy of emergency operation and elective operation were compared.Results Emergency operation was superior to elective operation in terms of operation time,hospitalization days and hospitalization expenses(P<0.05).There was no significant difference in intraoperative bleeding and postoperative drainage between the two groups(P>0.05).There was no significant difference in the incidence of postoperative complications between emergency surgery and elective surgery(P>0.05).Emergency operation and postoperative elective surgical procedures for 3 months,6 months,12 months visual analogue scale method(VAS)score and the American Orthopedic Foot and Ankle Society(AOFAS)ankle-hindfoot function score showed no significant difference between the two groups(P>0.05).Conclusion It is safe and effective to perform emergency open reduction and internal fixation for calcaneal fracture patients admitted to hospital within 6 hours after injury.

关键词

跟骨骨折/急诊跟骨手术/择期跟骨手术/临床效果

Key words

calcaneal fracture/emergency calcaneal operation/elective calcaneal operation/clnical effect

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出版年

2024
足踝外科电子杂志

足踝外科电子杂志

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