目的:本研究旨在比较膝关节镜下采用前交叉韧带定位器精准定位复位内固定与传统切开复位内固定治疗Schatzker II~V型胫骨平台骨折的效果。方法:我们前瞻性地选择了2021年6月至2024年6月在青岛市市立医院接受手术治疗的60例Schatzker II~V型胫骨平台骨折患者,将其随机分为实验组和对照组,每组30例。实验组采用膝关节镜下复位内固定(arthroscopic reduction and internal fixation, ARIF),通过前交叉韧带定位器定位开窗复位治疗;对照组则进行常规切开复位内固定术(open reduction and internal fixation, ORIF)。比较两组围手术期的情况、膝关节功能恢复及并发症发生等方面的情况。结果:两组患者均完成术后6~12个月的随访,平均随访时间为(10.1 ± 3.6)个月。实验组的手术时间、下床活动时间、住院时间、切口愈合时间和骨折愈合时间均显著短于对照组,差异具有统计学意义(P 0.05)。结论:关节镜下通过前交叉韧带定位器精准定位开窗复位内固定治疗胫骨平台骨折的临床效果明显优于传统的开放复位内固定治疗方式。这种方法具有创伤小、复位和固定精准、关节功能恢复良好、并发症少等优点,值得在临床中推广应用。Objective: This study aims to compare the treatment outcomes involving precise positioning, reduction, and internal fixation using an anterior cruciate ligament locator under knee arthroscopy with traditional open reduction and internal fixation for the management of Schatzker II~V fractures of the tibial plateau. Methods: Between June 2021 and June 2024, 60 patients with Schatzker II~V tibial plateau fractures who underwent surgical treatment at Qingdao Municipal Hospital were randomly allocated to the experimental and control groups, each consisting of 30 patients. The experimental group received arthroscopic reduction and internal fixation (ARIF) with anterior cruciate ligament locator-assisted window reduction, while the contr
目的:比较腹腔镜胰十二指肠切除术(LPD)与开腹胰十二指肠切除术(OPD)的临床疗效。方法:回顾性收集新疆医科大学第一附属医院2015年1月至2021年1月期间完成的33例腹腔镜胰十二指肠切除术患者及33例开腹胰十二指肠切除术患者资料。比较两组手术时间,术中出血量,术中输血情况,术后排气时间,术后首次下床时间,术后住院天数,带管时间,住院总费用及术后并发症发生情况。结果:两组手术出血量,住院总费用无统计学差异(P > 0.05),手术时间LPD组大于OPD组(P 0.05)。结论:开腹和腹腔镜胰十二指肠切除术均安全有效,腹腔镜胰十二指肠切除术在不增加并发症的情况下,术后恢复优于开腹腹腔镜胰十二指肠切除术。Objective: To compare the clinical effects of laparoscopic pancreaticoduodenectomy (LPD) and open pancreaticoduodenectomy (OPD). Methods: The data of 33 patients with laparoscopic pancreaticoduodenectomy and 33 patients with open pancreaticoduodenectomy completed in the First Affiliated Hospital of Xinjiang Medical University from January 2015 to January 2021 were collected retrospectively. The operation time, intraoperative bleeding, intraoperative blood transfusion, postoperative exhaust time, the first time out of bed, postoperative hospital stay, tube time, total hospitalization cost and postoperative complications were compared between the two groups. Results: There was no significant difference in the amount of surgical bleeding and the total cost of hospitalization between the two groups (P > 0.05). The operation time in group LPD was greater than that in group OPD (P 0.05). Conclusion: Both open and laparoscopic pancreatoduodenectomy are safe and effective, and laparoscopic pancreatoduodenectomy offers better postoperative recovery than open and laparoscopic pancreatoduodenectomy without increasing complications.
