【摘要】 目的 探讨关节镜辅助微创手术治疗与传统手术治疗在胫骨平台骨折中的差异。方法 简单随机选取2021年1月—2023年12月宿迁市钟吾医院接诊入院的60例胫骨平台骨折患者为研究对象，根据手术方式不同分为两组，对照组（n=30）采取传统手术，观察组（n=30）采取关节镜下后交叉韧带止点撕脱骨折复位内固定术。对比两组患者手术治疗效果。结果 观察组手术时长长于对照组，切口长度、术中出血量以及术后下床活动时间均优于对照组，差异有统计学意义（P均<0.05）；观察组术后1、3个月膝关节功能评分高于对照组，差异有统计学意义（P均<0.05）；观察组术后1、3个月日常生活活动能力评分高于对照组，差异有统计学意义（P均<0.05）；观察组并发症发生率为3.33%，与对照组的16.67%比较，差异无统计学意义（χ~2=1.667,P=0.197）。结论 关节镜辅助微创手术在治疗胫骨平台骨折中优势显著，可促进胫骨平台骨折患者膝关节功能的恢复，术后并发症发生率较低，具有临床研究意义。更多还原

【Abstract】 Objective To investigate the difference between arthroscopy-assisted minimally invasive surgery and traditional surgery in tibial plateau fracture. Methods Sixty patients with tibial plateau fracture admitted to Zhongwu Hospital of Suqian City from January 2021 to December 2023 were simple randomly selected as the study objects, and divided into two groups according to different surgical methods. The control group(n=30) underwent traditional surgery,and the observation group(n=30) underwent arthroscopic reduction and internal fixation of posterior cruciate ligament avulsion fracture. The effect of surgical treatment was compared between the two groups. Results The operation duration in the observation group was longer than that of the control group, incision length, intraoperative blood loss and postoperative ambulation time in the observation group were better than those in the control group, the differences were statistically significant(all P<0.05). The knee function scores of the observation group 1 month and 3 months after operation were higher than those of the control group, and the differences were statistically significant(both P<0.05). The scores of activities of daily living in the observation group were higher than those in the control group 1month and 3 months after operation, and the differences were statistically significant(both P<0.05). The incidence of complications in the observation group was 3.33%, compared with 16.67% in the control group, the difference was not statistically significant(χ~2=1.667, P=0.197). Conclusion Arthroscopic assisted minimally invasive surgery has significant advantages in the treatment of tibial plateau fracture, which can promote the recovery of knee joint function in patients with tibial plateau fracture, and the incidence of postoperative complications is low, which has clinical significance.更多还原