临床医学工程
臨床醫學工程
림상의학공정
Clinical Medical & Engineering
2015年
10期
1303-1304
,共2页
背侧入路%桡骨远端楔形截骨术%腕舟骨不稳定骨折
揹側入路%橈骨遠耑楔形截骨術%腕舟骨不穩定骨摺
배측입로%뇨골원단설형절골술%완주골불은정골절
Dorsal approach%Distal radial wedge osteotomy%Unstable fracture of scaphoid
目的：探讨桡骨远端楔形截骨术及背侧入路术对腕舟骨不稳定骨折的临床疗效。方法收集我院2011年5月至2014年2月收治的76例腕舟骨不稳定性骨折患者，随机分为两组各38例。观察组采用桡骨远端楔形截骨术治疗，对照组采用背侧入路术治疗。比较两组的治疗效果以及手术前后VAS评分和腕关节活动度。结果观察组治疗后优良率为92.11%，显著高于对照组的73.68%，差异具有统计学意义(P＜0.05)。两组患者术前VAS评分比较无明显差异(P＞0.05)，两组患者术后1个月、3个月、6个月的VAS评分均显著降低，且观察组明显低于对照组，差异具有统计学意义(P＜0.05)。两组患者术前腕关节活动度相比无明显差异(P＞0.05)，两组术后1个月、3个月、6个月的腕关节活动度均优于术前，且观察组明显优于对照组，差异具有统计学意义(P＜0.05)。结论桡骨远端楔形接骨术对腕舟不稳定骨折患者进行治疗，操作简单，且疗效确切，值得临床推广。
目的：探討橈骨遠耑楔形截骨術及揹側入路術對腕舟骨不穩定骨摺的臨床療效。方法收集我院2011年5月至2014年2月收治的76例腕舟骨不穩定性骨摺患者，隨機分為兩組各38例。觀察組採用橈骨遠耑楔形截骨術治療，對照組採用揹側入路術治療。比較兩組的治療效果以及手術前後VAS評分和腕關節活動度。結果觀察組治療後優良率為92.11%，顯著高于對照組的73.68%，差異具有統計學意義(P＜0.05)。兩組患者術前VAS評分比較無明顯差異(P＞0.05)，兩組患者術後1箇月、3箇月、6箇月的VAS評分均顯著降低，且觀察組明顯低于對照組，差異具有統計學意義(P＜0.05)。兩組患者術前腕關節活動度相比無明顯差異(P＞0.05)，兩組術後1箇月、3箇月、6箇月的腕關節活動度均優于術前，且觀察組明顯優于對照組，差異具有統計學意義(P＜0.05)。結論橈骨遠耑楔形接骨術對腕舟不穩定骨摺患者進行治療，操作簡單，且療效確切，值得臨床推廣。
목적：탐토뇨골원단설형절골술급배측입로술대완주골불은정골절적림상료효。방법수집아원2011년5월지2014년2월수치적76례완주골불은정성골절환자，수궤분위량조각38례。관찰조채용뇨골원단설형절골술치료，대조조채용배측입로술치료。비교량조적치료효과이급수술전후VAS평분화완관절활동도。결과관찰조치료후우량솔위92.11%，현저고우대조조적73.68%，차이구유통계학의의(P＜0.05)。량조환자술전VAS평분비교무명현차이(P＞0.05)，량조환자술후1개월、3개월、6개월적VAS평분균현저강저，차관찰조명현저우대조조，차이구유통계학의의(P＜0.05)。량조환자술전완관절활동도상비무명현차이(P＞0.05)，량조술후1개월、3개월、6개월적완관절활동도균우우술전，차관찰조명현우우대조조，차이구유통계학의의(P＜0.05)。결론뇨골원단설형접골술대완주불은정골절환자진행치료，조작간단，차료효학절，치득림상추엄。
Objective To investigate the clinical effect of distal radius wedge osteotomy and dorsal approach surgery in the treatment of unstable fractures of scaphoid. Methods 76 cases of patients with unstable fractures of scaphoid treated in our hospital from May 2011 to February 2014 were collected and randomly divided into two groups, with 38 cases in each group. The observation group was treated with distal radius wedge osteotomy, and the control group was treated with dorsal approach surgery. The clinical effect, VAS score and wrist movement before and after surgery were compared between two groups. Results The excellent and good rate of the observation group was 92.11%, higher than 73.68%of the control group, with statistical difference (P<0.05). The VAS score of the two groups before the operation had no statistical difference (P>0.05), and after 1 month, 3 months and 6 months of the surgery, the VAS score of the two groups decreased, and the VAS score of the observation group was lower than that of the control group, with statistical difference (P <0.05). The wrist movement of the two groups before the operation had no statistical difference (P>0.05), and after 1 month, 3 months and 6 months of the surgery, the wrist movement of the two groups were improved, and the wrist movement of the observation group was better than that of the control group, with statistical difference (P <0.05). Conclusions For patients with unstable fractures of scaphoid, distal radius wedge osteotomy has simple operation and accurate effect, which is worthy of clinical promotion.
