中华手外科杂志
中華手外科雜誌
중화수외과잡지
CHINESE JOURNAL OF HAND SURGERY
2013年
2期
104-107
,共4页
邢树国%谢仁国%汤锦波%侯建伟
邢樹國%謝仁國%湯錦波%侯建偉
형수국%사인국%탕금파%후건위
腱损伤%治疗结果%锤状指
腱損傷%治療結果%錘狀指
건손상%치료결과%추상지
Tendon injuries%Treatment outcome%Mallet finger
目的 观察克氏针与微型骨锚钉分别治疗急性DoyleⅠ型锤状指的临床效果,并探讨其疗效差异.方法 随访2010年1月至2012年1月来我科就诊,并行手术治疗的Doyle Ⅰ a和Ⅰb型急性锤状指患者52例,其中27例行克氏针治疗(A组),25例行微型骨锚钉治疗(B组).记录患者的满意度和患指的活动度、疼痛度及并发症等情况,参照Crawford疗效评估标准对患者的恢复情况进行评定.统计分析克氏针组和微型骨锚钉组的疗效差异.结果 术后A组获得随访时间平均13.9(6～27)个月,B组平均12.0(6～ 22)个月.两组之间的满意度和患指活动度、疼痛度比较差异无统计学意义(P＞0.05).参照Crawford疗效评估标准:A组优7例、良6例、中9例、差5例,优良率为48.1％；B组优5例、良6例、中8例、差6例,优良率为44.0％.两组之间疗效等级分布和优良率比较差异无统计学意义(P＞0.05).B组线结外露并发症的发病率明显大于A组(P=0.031),而其余并发症及总并发症的发病率两组之间差异均无统计学意义(P＞0.05).结论 克氏针与微型骨锚钉治疗Doyle Ⅰ型急性锤状指损伤,疗效等级分布和优良率之间差异无统计学意义,微型骨锚钉使用后线结外露并发症的发病率明显较克氏针组多.
目的 觀察剋氏針與微型骨錨釘分彆治療急性DoyleⅠ型錘狀指的臨床效果,併探討其療效差異.方法 隨訪2010年1月至2012年1月來我科就診,併行手術治療的Doyle Ⅰ a和Ⅰb型急性錘狀指患者52例,其中27例行剋氏針治療(A組),25例行微型骨錨釘治療(B組).記錄患者的滿意度和患指的活動度、疼痛度及併髮癥等情況,參照Crawford療效評估標準對患者的恢複情況進行評定.統計分析剋氏針組和微型骨錨釘組的療效差異.結果 術後A組穫得隨訪時間平均13.9(6～27)箇月,B組平均12.0(6～ 22)箇月.兩組之間的滿意度和患指活動度、疼痛度比較差異無統計學意義(P＞0.05).參照Crawford療效評估標準:A組優7例、良6例、中9例、差5例,優良率為48.1％；B組優5例、良6例、中8例、差6例,優良率為44.0％.兩組之間療效等級分佈和優良率比較差異無統計學意義(P＞0.05).B組線結外露併髮癥的髮病率明顯大于A組(P=0.031),而其餘併髮癥及總併髮癥的髮病率兩組之間差異均無統計學意義(P＞0.05).結論 剋氏針與微型骨錨釘治療Doyle Ⅰ型急性錘狀指損傷,療效等級分佈和優良率之間差異無統計學意義,微型骨錨釘使用後線結外露併髮癥的髮病率明顯較剋氏針組多.
목적 관찰극씨침여미형골묘정분별치료급성DoyleⅠ형추상지적림상효과,병탐토기료효차이.방법 수방2010년1월지2012년1월래아과취진,병행수술치료적Doyle Ⅰ a화Ⅰb형급성추상지환자52례,기중27례행극씨침치료(A조),25례행미형골묘정치료(B조).기록환자적만의도화환지적활동도、동통도급병발증등정황,삼조Crawford료효평고표준대환자적회복정황진행평정.통계분석극씨침조화미형골묘정조적료효차이.결과 술후A조획득수방시간평균13.9(6～27)개월,B조평균12.0(6～ 22)개월.량조지간적만의도화환지활동도、동통도비교차이무통계학의의(P＞0.05).삼조Crawford료효평고표준:A조우7례、량6례、중9례、차5례,우량솔위48.1％；B조우5례、량6례、중8례、차6례,우량솔위44.0％.량조지간료효등급분포화우량솔비교차이무통계학의의(P＞0.05).B조선결외로병발증적발병솔명현대우A조(P=0.031),이기여병발증급총병발증적발병솔량조지간차이균무통계학의의(P＞0.05).결론 극씨침여미형골묘정치료Doyle Ⅰ형급성추상지손상,료효등급분포화우량솔지간차이무통계학의의,미형골묘정사용후선결외로병발증적발병솔명현교극씨침조다.
Objective To compare the treatment effects of K-wire and micro-anchor techniques in patients with acute Doyle Ⅰ mallet finger.Methods A retrospective review of 52 cases with acute Doyle Ⅰ a or Ⅰ b mallet finger surgically treated in our hospital from January 2010 to January 2012 was conducted.Among them 27 patients were treated with K-wires (group A),while 25 patients were treated with micro-anchors (group B).Patient satisfaction,total range of active motion of the distal interphalangeal joint,pain and complications were measured and recorded.The outcomes were assessed using Crawford's evaluation standard.Statistic analysis was carried out to compare the differences of the results between the two groups.Results Postoperatively cases in group A were follow-up for a mean of 13.9 months (range,6 to 27 months),while those in group B were follow-up for a mean of 12.0 months (range,6 to 22 months).There were no significant differences in patient satisfaction,range of motion and pain between the two groups (P ＞ 0.05).According to Crawford' s evaluation standard,there were 7 cases of excellent,6 cases of good,9 cases of fair and 5 cases of poor results in group A,with an overall 48.1％ satisfactory rate.There were 5 cases of excellent,6 cases of good,8 cases of fair and 6 cases of poor results in group B,with an overall 44.0％ satisfactory rate.Neither the outcomes rating nor the overall success rate showed significant differences between the two groups (P ＞ 0.05).The incidence of suture exposure was significantly higher in group B than in group A (P =0.031).The incidence of other complications and overall complication rate showed no significant difference between the two groups (P ＞ 0.05).Conclusion K-wire and micro-anchor techniques have the same results in the treatment of acute Doyle Ⅰ mallet finger.However the incidence of suture exposure is higher in micro-anchor group.
