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目的比较分析两种手术切口入路治疗儿童跟骨关节内骨折的临床效果。方法 48例患儿随机分为治疗组和对照组,治疗组(26例)采用新型改良经跗骨窦切口入路进行解剖复位,对照组(22例)采用传统跟骨外侧“L”型切口入路进行解剖复位;比较两组临床效果。结果治疗组术中出血量、切口长度、住院时间值分别为(25.4±9.1)ml、(3.5±0.9)cm、(5.1±0.6)d,均小于对照组,差异均有统计学意义(P<0.05)。治疗组手术时间、治疗优良率值虽高于对照组,但差异无统计学意义(P>0.05)。结论新型改良经跗骨窦切口入路具有手术创伤小、患儿恢复快的优点,值得临床推广应用。
Objective To compare the clinical effects of two kinds of surgical incision in the treatment of intra-articular calcaneal fractures in children. Methods Forty-eight cases were randomly divided into treatment group and control group. The treatment group (26 cases) underwent anatomical reduction with a new modified tarsal sinus incision. The control group (22 cases) Type incision for anatomical reduction; compare the clinical effect of two groups. Results The blood loss, length of incision and length of hospital stay in the treatment group were (25.4 ± 9.1) ml, (3.5 ± 0.9) cm and (5.1 ± 0.6) d, respectively, which were significantly lower than those in the control group <0.05). The operation time and the rate of excellent and good treatment in the treatment group were higher than those in the control group, but the difference was not statistically significant (P> 0.05). Conclusion The new modified transostroneal sinus incision has the advantages of less traumatic surgery and faster recovery of the child, worthy of clinical application.