中华手外科杂志
中華手外科雜誌
중화수외과잡지
CHINESE JOURNAL OF HAND SURGERY
2011年
1期
13-15
,共3页
杨焕友%王斌%李浩%赵少平%刘德群%蒋文平%马铁鹏%尹佳丽%张剑锋%王辉
楊煥友%王斌%李浩%趙少平%劉德群%蔣文平%馬鐵鵬%尹佳麗%張劍鋒%王輝
양환우%왕빈%리호%조소평%류덕군%장문평%마철붕%윤가려%장검봉%왕휘
骨折%内固定器%尺骨%外科手术
骨摺%內固定器%呎骨%外科手術
골절%내고정기%척골%외과수술
Fractures,bone%Internal fixators%Ulna%Surgical procedures,operative
目的 比较尺骨茎突骨折手术治疗与非手术治疗的疗效.方法 尺骨茎突骨折手术治疗组62例(64处),采用克氏针结合钢丝法,术后随访2～18个月,平均8个月;非手术治疗组70例(72处),随访1.5～24个月,平均10个月.采用AO组织的Gartland-Wertey评分方法,根据尺骨茎突骨折愈合情况,对两组病例疗效进行比较.结果 尺骨茎突骨折手术治疗组:优57例,良2例,中2例,差1例,优良率为95.2%;X线片显示术后3个月骨折均达到骨性愈合.尺骨茎突骨折非手术治疗组:优10例,良15例,中18例,差27例,优良率为35.7%;X线片显示伤后1.5个月9例骨折达到骨性愈合,伤后6个月32例骨折畸形愈合,伤后12个月29例尺骨茎突骨折不愈合.两组差异有统计学意义(P＜0.05).结论 尺骨茎突骨折手术治疗在腕关节功能恢复优良率及骨折愈合方面均明显优于非手术治疗.
目的 比較呎骨莖突骨摺手術治療與非手術治療的療效.方法 呎骨莖突骨摺手術治療組62例(64處),採用剋氏針結閤鋼絲法,術後隨訪2～18箇月,平均8箇月;非手術治療組70例(72處),隨訪1.5～24箇月,平均10箇月.採用AO組織的Gartland-Wertey評分方法,根據呎骨莖突骨摺愈閤情況,對兩組病例療效進行比較.結果 呎骨莖突骨摺手術治療組:優57例,良2例,中2例,差1例,優良率為95.2%;X線片顯示術後3箇月骨摺均達到骨性愈閤.呎骨莖突骨摺非手術治療組:優10例,良15例,中18例,差27例,優良率為35.7%;X線片顯示傷後1.5箇月9例骨摺達到骨性愈閤,傷後6箇月32例骨摺畸形愈閤,傷後12箇月29例呎骨莖突骨摺不愈閤.兩組差異有統計學意義(P＜0.05).結論 呎骨莖突骨摺手術治療在腕關節功能恢複優良率及骨摺愈閤方麵均明顯優于非手術治療.
목적 비교척골경돌골절수술치료여비수술치료적료효.방법 척골경돌골절수술치료조62례(64처),채용극씨침결합강사법,술후수방2～18개월,평균8개월;비수술치료조70례(72처),수방1.5～24개월,평균10개월.채용AO조직적Gartland-Wertey평분방법,근거척골경돌골절유합정황,대량조병례료효진행비교.결과 척골경돌골절수술치료조:우57례,량2례,중2례,차1례,우량솔위95.2%;X선편현시술후3개월골절균체도골성유합.척골경돌골절비수술치료조:우10례,량15례,중18례,차27례,우량솔위35.7%;X선편현시상후1.5개월9례골절체도골성유합,상후6개월32례골절기형유합,상후12개월29례척골경돌골절불유합.량조차이유통계학의의(P＜0.05).결론 척골경돌골절수술치료재완관절공능회복우량솔급골절유합방면균명현우우비수술치료.
Objective To compare the clinical outcomes of surgical and non-surgical treatment of ulnar styloid fractures. Methods There were 62 patients (64 sides) that were treated with Kirschner wire and tension band fixation in the surgical group. They were follow-up postoperatively for 2 to 18 months, with an average of 8 months. Seventy patients (72 sides) were non-surgically treated and follow-up for 1.5 to 24 months with an average of 10 months. Gartland and Werley scoring system of the AO Foundation was applied to evaluate the results. Fracture healing was evaluated by X-ray films. Comparison was made between the surgical and nonsurgical groups. Results Results in the surgical group were graded as excellent in 57 cases, good in 2 cases,fair in 2 cases and poor in 1 case. The overall satisfactory rate was 95.2%. X-rays showed that bone union was obtained in all the patients three months after the surgery. Results in the non-surgical group were graded as excellent in 10 cases, good in 15 cases, fair in 18 cases and poor in 27 cases. The overall satisfactory rate was 35.7%. X-rays showed bone union in only 9 cases 1.5 months after the injury, fracture malunion in 32 cases 6 months after the injury, and nonunion in 29 cases even 12 months after the injury. The differences between the two groups were statistically significant. Conclusion From the aspects of wrist function and fracture healing,surgical treatment of ulnar styloid fractures is superior to non-surgical treatment.
