通道辅助跟腱微创吻合术与传统开放手术治疗急性跟腱断裂的回顾性临床队列研究
《创伤外科杂志》[ISSN:/CN:]
- 期数:
- 2020年12期
- 页码:
- 885-888+914
- 栏目:
- 论著·四肢损伤
- 出版日期:
- 2020-12-20
文章信息/Info
- Title:
- A retrospective clinical cohort study on the treatment of acute Achilles tendon rupture with channel-assisted minimally invasive anastomosis and traditional open surgery
- 文章编号:
- 1009-4237(2020)12-0885-05
- Author(s):
- WANG Zi-jian; ZHANG Zhi-yang; ZHOU Si-ru; LIU Hua-yu; ZHANG Lian-yang; GUO Qing-shan; LI Yang
- State Key Laboratory of Trauma,Burns and Combined Injury,Medical Center of Trauma/War Injury,Daping Hospital,Army Medical University,Chongqing 400042,China
- 分类号:
- R 686.1
- DOI:
- 10.3969/j.issn.1009-4237.2020.12.002
- 文献标识码:
- A
- 摘要:
- 目的 比较通道辅助跟腱微创吻合术与传统开放手术对急性跟腱断裂患者的临床效果。方法 采用回顾性临床队列研究分析2017年1月—2018年12月陆军军医大学大坪医院战创伤医学中心收治的急性跟腱断裂患者,根据接受手术方式将患者分为传统开放手术组和微创手术组。分析比较两组患者性别、年龄、伤侧、跟腱断裂部位至跟腱止点距离、受伤至手术时间、手术耗时、手术切口长度、术中出血量、术后6个月和12个月AOFAS评分及患肢小腿最大周径和相关并发症发生率。结果 根据纳入及排除标准,最终纳入47例,其中男性45例,女性2例; 年龄20～71岁,平均38.3岁; 微创手术组17例和传统手术组30例。微创手术组与传统开放手术组相比,年龄、性别、伤侧、跟腱断裂部位至跟腱止点距离和受伤至手术时间比较差异无统计学意义(P>0.05)。微创手术组与传统开放手术组手术耗时[(40.0±19.5)min vs.(67.7±18.8)min]、切口长度[(2.4±0.6)cm vs.(9.6±3.2)cm]和术中出血量[(13.2±6.1)mL vs.(21.8±14.2)mL]比较差异有统计学意义(P<0.05)。功能方面,术后6个月微创手术组AOFAS评分显著高于传统手术组[(91.1±8.5)分 vs.(82.6±13.1)分],差异有统计学意义(P<0.05),但术后12个月两组患者AOFAS评分(93.9±6.1 vs. 90.9±5.8)比较差异无统计学意义(P>0.05)。微创手术组与传统手术组相比,小腿周径术后6个月[(30.1±3.7)cm vs.(29.1±3.6)cm]、术后12个月[(32.8±3.9)cm vs.(31.1±3.8)cm],差异无统计学意义(P>0.05)。并发症方面,传统手术组出现2例再断裂、1例切口感染,微创手术组无并发症发生,但两组比较差异无统计学意义(P=0.292)。结论 通道辅助跟腱微创吻合术相较于传统开放手术,术后远期功能无显著性差异,但可缩短手术时间、减小手术切口、减少术中出血并且早期功能更佳。
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备注/Memo
- 备注/Memo:
- 【通信作者】 李阳,E-mail:dpliyang@tmmu.edu.cn
