| 金岩泉,郑杰,欧阳代明,郭翱.经皮微创小切口联合富血小板血浆治疗急性闭合性跟腱断裂的临床效果评价[J].浙江中西医结合杂志,2021,31(10): |
| 经皮微创小切口联合富血小板血浆治疗急性闭合性跟腱断裂的临床效果评价 |
| Evaluation of percutaneous minimally invasive mini-incision combied with platelet-rich plasma in the treatment of acute closed rupture of Achilles |
| 投稿时间：2021-02-21 修订日期：2021-08-20 |
| DOI： |
| 中文关键词: 微创 富血小板血浆 跟腱断裂 |
| 英文关键词: |
| 基金项目:温岭市社会发展科技项目(2019S0180078) |
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| 中文摘要: |
| 目的 探讨经皮微创小切口联合富血小板血浆(PRP)治疗急性闭合性跟腱断裂的效果情况。 方法 选取2018年1月至2020年12月台州骨伤科医院影像学证实为急性闭合性跟腱断裂的患者43例,根据富血小板血浆使用情况将患者分为观察组24例与对照组19例,观察组采用经皮微创小切口联合注入自体富血小板血浆(PRP)6ml对急性闭合性断裂的跟腱进行修复,对照组仅采用经皮微创小切口修复急性闭合性断裂的跟腱；分别记录术前、术后1个月及术后6个月美国足踝外科协会(AOFAS)足踝功能评分、跟腱断裂评分(ATRS及Leppilahti跟腱修复评分进行临床疗效评价。 结果 43例病人全部得到随访,两组患者性别、年龄、侧别的差异无统计学意义(P>0.05),术前ARTS评分、AOFAS-AH评分及Leppilahti跟腱修复评分的差异无统计学意义(P>0.05),两组具有可比性；观察组ARTS评分、AOFAS-AH评分及Leppilahti跟腱修复评分在术后1个月及术后6个月均高于对照组,差异有统计学意义(P<0.05)。结论 采用经皮微创小切口联合富血小板血浆(PRP)治疗急性闭合性跟腱断裂,能更有效的促进断裂跟腱的修复,加快患者运动功能的恢复。 |
| 英文摘要: |
| Objective: To explore the effect of percutaneous minimally invasive mini-incision combined with platelet-rich plasma (PRP) in the treatment of acute closed rupture of Achilles tendon. Results: Forty-three patients with acute closed Achilles tendon rupture confirmed by imaging in Taizhou Orthopaedics and Traumatology Hospital from January 2018 to December 2020 were selected. According to the use of platelet-rich plasma, the patients were divided into observation group (n = 24) and control group (n = 19). The Achilles tendon of acute closed rupture was repaired by percutaneous minimally invasive incision combined with injection of autologous platelet-rich plasma (PRP) 6ml. In the control group, only percutaneous minimally invasive small incision was used to repair acute closed rupture of Achilles tendon. Before operation, 1 month and 6 months after operation, the American Association of foot and ankle surgery (AOFAS) foot and ankle function score Achilles tendon rupture score (ATRS) and Leppilahti Achilles tendon repair score were recorded to evaluate the clinical effect. Conclusion: All 43 patients were followed up. There was no significant difference in sex, age and side between the two groups(P>0.05). There was no significant difference in preoperative ARTS score, AOFAS-AH score and Leppilahti Achilles tendon repair score between the two groups(P>0.05). ARTS score, AOFAS-AH score and Leppilahti Achilles tendon repair score in the observation group were significantly higher than those in the control group at 1 month and 6 months after operation(P<0.05). |
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