目的 观察术后综合康复治疗对踝关节骨折患者康复进程及生活质量的影响.方法 将147例踝关节骨折病例随机分为观察组(n=76)和对照组(n=71).观察组术后给予综合康复治疗方案,对照组术后给予常规康复方案.随访至术后12个月,观察两组康复进程(采用踝关节主动伸、屈、旋前、旋后最大度数评价,术前及术后3,6,12个月各评价1次)及生活质量的差异.结果 两组踝关节伸、屈、旋前、旋后度数比较差异有统计学意义(P<0.05),两组踝关节伸、屈、旋前、旋后度数随着时间的延长表现出逐渐升高的趋势(P<0.05),观察组升高的幅度大于对照组(P<0.05);两组的躯体功能、心理功能、社会功能、物质生活状态评分比较差异有统计学意义(P<0.05),且评分随着时间的延长表现出逐渐升高的趋势(P<0.05),观察组升高的幅度大于对照组(P<0.05).结论 综合康复治疗可缩短踝关节骨折术后康复进程,也有助于提升生活质量.

目的:探讨腹腔镜胆囊切除术各种类型临床操作要点及注意点.方法:回顾分析应用四孔法行45例LC手术的经验.结果:成功实施LC手术.结论:严格按照临床操作要点及注意点进行手术,可以提高LC手术成功率.

Objective:To compare the laparoscopic and traditional open surgery in the treatment of acute appendicitis clinical curative effect.Methods:50 cases random average divided into the observation group(laparoscopic surgery) and control group(traditional open surgery),comparison surgery treatment effect.Results:Two groups of patients curative effect,complications,and postoperative exhaust time,operation amount of bleeding,length of hospital stay and surgical pain score compared,significant difference(P<0.05);Two groups of operation time,compared with no statistical difference(P>0.05).Conclusion:Laparoscopic surgery in the treatment of acute appendicitis curative effect is distinct,has the virtues of small trauma,quick recovery,fewer complications and shorter hospitalization time.