山西中医学院学报
山西中醫學院學報
산서중의학원학보
JOURNAL OF SHANXI COLLEGE OF TRADITIONAL CHINESE MEDICINE
2015年
2期
54-56,59
,共4页
熊涛%吴煜%沈金明%陈杰%于建农
熊濤%吳煜%瀋金明%陳傑%于建農
웅도%오욱%침금명%진걸%우건농
舟状骨骨折%经皮掌侧入路%经皮背侧入路%Herbert螺钉
舟狀骨骨摺%經皮掌側入路%經皮揹側入路%Herbert螺釘
주상골골절%경피장측입로%경피배측입로%Herbert라정
scaphoid fractures%the volar approach through percutaneous%the dorsal approach through percutaneous%Her-bert screws
目的：评价掌侧及背侧经皮空芯Herbert螺钉术治疗新鲜腕舟状骨骨折的临床效果。方法：回顾分析我院2008年5月-2014年8月期间收治的新鲜腕舟状骨骨折21例病例，其中9例采用背侧经皮入路空芯Herbert螺钉内固定治疗，12例采用掌侧经皮入路空芯Herbert螺钉内固定治疗。术后按照改良Mayo腕关节功能评分标准来评定、比较两种治疗方法的临床疗效。结果：21例病例术后均获得6个月～24个月随访。21例患者骨折均I期愈合，骨折愈合时间7～12 w，平均9.5 w。改良Mayo腕关节功能评分结果掌侧组：优8例，良3例，可1例，优良率为91.7%；背侧组：优6例，良2例，可1例，优良率为88.9%。经统计学分析，掌侧与背侧经皮空芯Herbert螺钉术治疗腕舟状骨骨折临床疗效比较，差异无统计学意义（P>0.05）。结论：两种经皮入路方法均疗效确切，术后并发症少，均是临床上治疗腕舟状骨骨折的较为理想的治疗方案。
目的：評價掌側及揹側經皮空芯Herbert螺釘術治療新鮮腕舟狀骨骨摺的臨床效果。方法：迴顧分析我院2008年5月-2014年8月期間收治的新鮮腕舟狀骨骨摺21例病例，其中9例採用揹側經皮入路空芯Herbert螺釘內固定治療，12例採用掌側經皮入路空芯Herbert螺釘內固定治療。術後按照改良Mayo腕關節功能評分標準來評定、比較兩種治療方法的臨床療效。結果：21例病例術後均穫得6箇月～24箇月隨訪。21例患者骨摺均I期愈閤，骨摺愈閤時間7～12 w，平均9.5 w。改良Mayo腕關節功能評分結果掌側組：優8例，良3例，可1例，優良率為91.7%；揹側組：優6例，良2例，可1例，優良率為88.9%。經統計學分析，掌側與揹側經皮空芯Herbert螺釘術治療腕舟狀骨骨摺臨床療效比較，差異無統計學意義（P>0.05）。結論：兩種經皮入路方法均療效確切，術後併髮癥少，均是臨床上治療腕舟狀骨骨摺的較為理想的治療方案。
목적：평개장측급배측경피공심Herbert라정술치료신선완주상골골절적림상효과。방법：회고분석아원2008년5월-2014년8월기간수치적신선완주상골골절21례병례，기중9례채용배측경피입로공심Herbert라정내고정치료，12례채용장측경피입로공심Herbert라정내고정치료。술후안조개량Mayo완관절공능평분표준래평정、비교량충치료방법적림상료효。결과：21례병례술후균획득6개월～24개월수방。21례환자골절균I기유합，골절유합시간7～12 w，평균9.5 w。개량Mayo완관절공능평분결과장측조：우8례，량3례，가1례，우량솔위91.7%；배측조：우6례，량2례，가1례，우량솔위88.9%。경통계학분석，장측여배측경피공심Herbert라정술치료완주상골골절림상료효비교，차이무통계학의의（P>0.05）。결론：량충경피입로방법균료효학절，술후병발증소，균시림상상치료완주상골골절적교위이상적치료방안。
Objective:To evaluate the clinical effect both of the dorsal and the volar approaches with hollow Herbert screws in treating fresh scaphoid fracture. Methods:Retrospectively analysis 21 patients of fresh scaphoid waist fracture treated with Herbert screws through percutaneous approach during May 2008 to August 2014. The dorsal approach was used in 9 patients,and the volar approach was used in 12 patients. The clinical effect was evaluated by the modified Mayo standard. Results:After follow-up of 6 months to 24 months,fracture primary healing was found in 21 cases. And the fractures were cured within 7~12 weeks(mean 9.5 weeks). According to the modified Mayo standard:the results(the volar group)were excellent in 8 cases,good in 3 cases,and modest in 1 case,with the effective rate being 91.7%. The results (the dorsal group)were excellent in 6 cases,good in 2 cases,and modest in 1 case,with the effective rate being 88.9%. There was no statistically significant difference between 2 groups in clinical effect (P>0.05). Conclusion:Two percuta-neous approach with hollow Herbert screws are effective for fresh scaphoid fracture with few complications. They are both the ideal ways in treating fresh scaphoid fracture.
