微创技术在骨科创伤外科中的应用效果

目的探讨微创技术在骨科创伤中的应用效果。方法选取2010年10月至2013年2月临朐县人民医院骨科收治的112例骨科创伤患者为研究对象,根据手术方法分为传统手术组68例和微创手术组44例。比较两组患者术中及术后的一般情况、术后并发症发生率、治疗满意度、恢复满意度以及术后视觉模拟评分(VAS)。结果微创手术组患者术中出血量、手术时间、切口愈合时间及住院时间均显著少于传统手术组(P<0.05);两组患者治疗满意度比较,差异有统计学意义(χ2=4.89,P<0.05),恢复效果满意度比较差异无统计学意义(χ2=0.14,P>0.05);传统手术组有14例(20.59%)、微创手术组有2例(4.55%)患者术后发生非感染性发热,两者比较差异有统计学意义(χ2=9.43,P<0.05);两组患者术后VAS在组间、不同时间点,组间·不同时点间比较,差异均有统计学意义(P<0.05)。结论微创技术治疗骨外伤的临床疗效较理想,患者术后生活质量较高,不良反应少,适合在临床上推广应用。

Application of Minimally Invasive Technique in Traumatic Surgery

Objective To investigate the effect of minimally invasive technique in traumatic surgery. Methods Total of 112 cases of patients with bone trauma admitted to Linqu People＇s Hospital from Oct. 2010 to Feb. 2013 were selected as the research objects, and divided into two groups according to the operation methods：traditional surgery group（68 patients） was given traditional surgery, while minimally invasive surgery group（44 cases） was treated with minimally invasivc procedure. The general situation before and after operation, complications rate, degree of satisfaction and VAS of the two groups were compared. Results The intraoperative blood loss, operative time, wound healing time and hospital stay of the minimally invasive surgery group were significantly less than traditional surgery group （P 〈 0.05 ）. The degrees of treatment sat- isfaction of the two groups had statistically significant difference（80.88% vs 95.45% ,X2 =4.89 ,P 〈0.05）, but recover satisfaction showed no statistically significant difference （X2 = 0.14, P 〉 0.05 ）. There were 14 eases in the traditional surgery group and 2 cases （4.55%） in minimally invasive surgery group who had non-infective fever, with statistically significant difference between the two groups （ X2 = 9.43, P 〈 0. 05 ）. VAS of minimally invasive surgery group were significantly lower than traditional surgery group at different groups, different time points and different groups · time points（ P 〈 0.05 ）. Conclusion The curative effect of minimally invasive surgical treatment for bone trauma is ideal, featured with high life quality and less complications, therefore it is suitable for clinical application and promotion.