中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
7期
45-47
,共3页
不稳定型手舟骨骨折%可吸收螺钉%临床效果
不穩定型手舟骨骨摺%可吸收螺釘%臨床效果
불은정형수주골골절%가흡수라정%림상효과
Unstable scaphoid fracture%Absorbable screws%Clinical effect
目的：探讨可吸收螺钉治疗不稳定型手舟骨骨折临床效果，以期提高临床诊治水平。方法：选取2011年2月-2013年2月本院收治的58例不稳定型手舟骨骨折患者作为研究对象，按照随机数字表法将其分为对照组28例和观察组30例，其中对照组给予钢板螺钉内固定，观察组给予可吸收螺钉固定，观察治疗后两组患者的临床效果。结果：在临床效果上，观察组总有效率93.33%明显高于对照组的64.28%；且在骨折愈合情况方面，观察组12~16周骨折愈合率40.00%（12/30）明显高于对照组的0，36周以上的骨折愈合率0（0/30）明显低于对照组的21.43%（6/28）；观察组的并发症发生率6.67%明显低于对照组的32.14%，比较差异均有统计学意义（P<0.05）。结论：可吸收螺钉治疗不稳定型手舟骨骨折的临床效果满意，并发症发生率低，值得在临床上推广。
目的：探討可吸收螺釘治療不穩定型手舟骨骨摺臨床效果，以期提高臨床診治水平。方法：選取2011年2月-2013年2月本院收治的58例不穩定型手舟骨骨摺患者作為研究對象，按照隨機數字錶法將其分為對照組28例和觀察組30例，其中對照組給予鋼闆螺釘內固定，觀察組給予可吸收螺釘固定，觀察治療後兩組患者的臨床效果。結果：在臨床效果上，觀察組總有效率93.33%明顯高于對照組的64.28%；且在骨摺愈閤情況方麵，觀察組12~16週骨摺愈閤率40.00%（12/30）明顯高于對照組的0，36週以上的骨摺愈閤率0（0/30）明顯低于對照組的21.43%（6/28）；觀察組的併髮癥髮生率6.67%明顯低于對照組的32.14%，比較差異均有統計學意義（P<0.05）。結論：可吸收螺釘治療不穩定型手舟骨骨摺的臨床效果滿意，併髮癥髮生率低，值得在臨床上推廣。
목적：탐토가흡수라정치료불은정형수주골골절림상효과，이기제고림상진치수평。방법：선취2011년2월-2013년2월본원수치적58례불은정형수주골골절환자작위연구대상，안조수궤수자표법장기분위대조조28례화관찰조30례，기중대조조급여강판라정내고정，관찰조급여가흡수라정고정，관찰치료후량조환자적림상효과。결과：재림상효과상，관찰조총유효솔93.33%명현고우대조조적64.28%；차재골절유합정황방면，관찰조12~16주골절유합솔40.00%（12/30）명현고우대조조적0，36주이상적골절유합솔0（0/30）명현저우대조조적21.43%（6/28）；관찰조적병발증발생솔6.67%명현저우대조조적32.14%，비교차이균유통계학의의（P<0.05）。결론：가흡수라정치료불은정형수주골골절적림상효과만의，병발증발생솔저，치득재림상상추엄。
Objective:To observe the clinical effect of absorbable screws treating unstable scaphoid fracture,for improving the clinical diagnosis level.Method:58 cases with unstable scaphoid fracture in our hospital from February 2011 to February 2013 were selected as research objects and randomly divided into the control group for 28 cases and the observation group for 30 cases.The control group was treated with plate and screw internal fixation,and the observation group was treated with absorbable screws.The clinical effect of the two groups was observed.Result:For clinical effect,the total efficiency of the observation group was 93.33%,it was significantly higher than 64.28%of the control group;And the situation in the aspects of fracture healing,the healing rate of the observation group in 12-16 weeks was 40.0%(12/30),it was significantly higher than 0 of the control group,fracture healing rate of more than 36 weeks was 0(0/30),it was significantly lower than 21.43%(6/28)of the control group;The incidence of complications in observation group was 6.67%,it was lower than that 32.14%of the control group,the differences were statistically significant(P<0.05).Conclusion:Absorbable screws in the treatment of unstable scaphoid fracture not only has satisfying clinical effect,but also has low incidence rate of complications,is worth popularizing in clinic.
