本文選題：經(jīng)皮　切入點：雙螺釘　出處：《山東中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的本課題通過對經(jīng)皮雙螺釘交叉固定技術(shù)與植骨融合技術(shù)、臨床經(jīng)驗方-生骨飲在治療距下關(guān)節(jié)炎的臨床應(yīng)用研究,以探討經(jīng)皮雙螺釘交叉固定技術(shù)治療距下關(guān)節(jié)炎的優(yōu)勢,為治療距下關(guān)節(jié)炎提供可靠的臨床依據(jù)。方法采用隨機對照的研究方法。將患者按照隨機分組原則進行分組,采取經(jīng)皮雙螺釘交叉固定技術(shù)組為試驗組,采取傳統(tǒng)的后外側(cè)“L”切口植骨融合技術(shù)組為對照組,采取保守治療的為中藥組。記錄并分析觀察組、對照組及中藥組患者在治療前后的X線片。記錄并分析試驗組與對照組患者的臨床愈合時間;同時觀察試驗組與對照組患者手術(shù)時間、術(shù)中出血量、術(shù)后并發(fā)癥。末次隨訪時(24周)采用AOFAS踝-后足評分標準評價三組患者的踝關(guān)節(jié)功能;整理臨床資料,建立數(shù)據(jù)庫,用SPSS18.0軟件統(tǒng)計分析,得出結(jié)論。結(jié)果1.試驗組與對照組患者臨床愈合時間有明顯差異(P0.05);2.試驗組與對照組在平均手術(shù)時間、術(shù)中出血量、術(shù)后并發(fā)癥方面的比較,通過統(tǒng)計學(xué)分析,有明顯差異(P0.05)。3.末次隨訪足踝部功能按AOFAS功能評分標準顯示:試驗組足踝功能恢復(fù)優(yōu)良率89.47%,對照組優(yōu)良率75.01%,中藥組優(yōu)良率為57.14%,經(jīng)統(tǒng)計學(xué)分析三組患者治療后足踝關(guān)節(jié)功能恢復(fù)的優(yōu)良率,差異有統(tǒng)計學(xué)意義(P0.05),試驗組術(shù)后優(yōu)良率高于對照組、中藥組。結(jié)論1.經(jīng)皮雙螺釘交叉固定技術(shù)在恢復(fù)患者足踝關(guān)節(jié)功能方面優(yōu)于其他兩組;2.經(jīng)皮雙螺釘交叉固定技術(shù)治療距下關(guān)節(jié)炎有一定的優(yōu)勢。
[Abstract]:Objective to study the clinical application of Fangshenggu Yin in the treatment of subtalar arthritis by means of percutaneous double screw cross fixation and bone graft fusion, so as to explore the advantages of percutaneous double screw cross fixation in the treatment of subtalar arthritis.To provide a reliable clinical basis for the treatment of subtalar arthritis.Methods A randomized controlled study was used.Patients were divided into two groups according to the principle of random grouping. The experimental group was treated with percutaneous double-screw cross-fixation technique, the control group was treated with traditional posterolateral "L" incision bone graft fusion technique, and the traditional Chinese medicine group was treated conservatively.The X-ray films of patients in observation group, control group and traditional Chinese medicine group were recorded and analyzed before and after treatment.The clinical healing time of the patients in the test group and the control group was recorded and analyzed, and the operation time, the amount of intraoperative bleeding and the postoperative complications of the patients in the test group and the control group were observed at the same time.The ankle function of the three groups was evaluated by AOFAS ankle-hind foot scoring standard, clinical data were arranged, database was established, and statistical analysis was made by SPSS18.0 software.Result 1.There was a significant difference in clinical healing time between the test group and the control group (P 0.05).The average operation time, intraoperative bleeding volume and postoperative complications were compared between the experimental group and the control group. There was a significant difference between the two groups by statistical analysis.According to the AOFAS score, the excellent and good rate of ankle function recovery was 89.47 in the test group, 75.01 in the control group and 57.14 in the traditional Chinese medicine group. After statistical analysis, the excellent and good rate of the ankle joint function recovery in the three groups was statistically analyzed.The difference was statistically significant (P 0.05). The excellent and good rate in the experimental group was higher than that in the control group.Conclusion 1.The percutaneous double screw cross fixation technique was superior to the other two groups in the recovery of ankle joint function.Percutaneous double screw cross fixation technique has some advantages in the treatment of subtalar arthritis.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R687.4

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