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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:

25卷

期数:

2019年02期

页码:

158-160

栏目:

临床医学

出版日期:

2019-03-20

文章信息/Info

Title:

Effect of arthroscopic treatment of tibial plateau fracture and its impact on the level of inflammatory factor Ang Ⅱ

文章编号:

1006-8147(2019)02-0158-04

作者:

张昆阳; 关亚奇; 李晓国

（河南省职工医院骨科，郑州450003）

Author(s):

ZHANG Kun-yang;  GUAN Ya-qi;  LI Xiao-guo

（Department of Orthopedics, Henan Provincial Worker’s Hospital, Zhengzhou 450003，China）

关键词:

胫骨平台骨折; 关节镜; 切开复位内固定术; 应激因子

Keywords:

Fracture of the tibial plateau;  arthroscopy;  open reduction internal fixation; stress factor

分类号:

R683.42

DOI:

-

文献标志码:

A

摘要:

目的：分析关节镜辅助治疗胫骨平台骨折的效果及对炎性因子、AngⅡ水平的影响。方法：选取2016年2月-2017年12月我院收治的胫骨平台骨折患者96例，根据手术方法不同分为对照组和观察组。对照组患者采用传统常规切开复位内固定术，观察组患者采用关节镜辅助下微创手术治疗，分析两组患者治疗后的临床效果。结果：观察组患者手术时间、切口长度及住院时间短于对照组，术中出血量和术后引流量少于对照组，差异有统计学意义（P<0.05)。术前，两组患者PCT、IL-1β、AngⅡ水平比较，差异无统计学意义（P>0.05）。术后1、3 d时，观察组患者PCT、IL-1β、AngⅡ水平均低于对照组，差异有统计学意义（P<0.05)。术前，两组患者HSS评分、改良Lysholm评分比较，差异无统计学意义（P>0.05）。术后，观察组患者HSS评分、改良Lysholm评分优于对照组，差异有统计学意义（P<0.05)。观察组患者并发症率为8.33%，对照组为27.08%，观察组患者并发症率低于对照组，差异有统计学意义（P<0.05)。结论：胫骨平台骨折应用关节镜辅助治疗，手术时间短、伤口小、机体术后炎性因子和AngⅡ水平较低，有利于患者术后膝关节功能恢复，且安全性高。

Abstract:

Objective: To analyze the effect of arthroscopic adjuvant treatment of tibial plateau fracture and its influence on the level of inflammatory factor AngⅡ. Methods: A total of 96 cases of tibial plateau fracture treated in our hospital from February 2016 to December 2017 were retrospectively selected and divided into control group and observation group according to different treatment methods. The patients in the control group were treated with conventional open reduction and internal fixation while the patients in the observation group were treated with arthroscopic minimally invasive surgery. Results：The operation time, incision length and hospital stay in the observation group were shorter than those in the control group, and the amount of intraoperative bleeding and postoperative drainage was less than that of the control group (P < 0.05). Before operation, there was no significant difference in the levels of IL-1 β Ang Ⅱ between the two groups (P>0.05). On the 3rd day after operation, the levels of IL-1 β -Ang Ⅱ in the observation group were lower than those in the control group (P<0.05). Before operation, there were no significant differences in HSS score and modified Lysholm score between the two groups(P >0.05). Technique After that, the HSS score and modified Lysholm score in the observation group were higher than those in the control group(P <0.05). The complication rate of observation group was 8.33 and that of control group was 27.08. The complication rate of observation group was higher than that of control group(P <0.05). Conclusion: Arthroscopic adjuvant treatment of tibial plateau fractures is helpful to the improvement of knee joint function after operation and has high lower risk due to its shorter operation time, smaller wound and less influence on body stress factors.

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备注/Memo

备注/Memo:

作者简介 张昆阳(1984-)，男，主治医师，学士，研究方向：临床医学，E-mail: ji93ba@163.com。

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更新日期/Last Update: 2019-04-25