【摘要】：目的：比較分析石膏固定和空心螺釘內(nèi)固定修復(fù)腕部舟狀骨新鮮骨折的功能恢復(fù)情況。方法：納入新疆醫(yī)科大學(xué)第一附屬醫(yī)院2012年3月至2014年7月收治的腕部舟狀骨新鮮骨折22例,患者均為新鮮舟狀骨腰部骨折,受傷時(shí)間2h-12d�；颊咝g(shù)前X射線拍片示：未見腕部舟狀骨塌陷、月骨周圍脫位、缺血性骨壞死及骨性改變等表現(xiàn)。所有病例均為有移位、不穩(wěn)定性骨折。根據(jù)患者意愿及手術(shù)方法選擇等分為石膏組和空心螺釘組進(jìn)行療效對比分析,每組11例。隨訪時(shí)對兩組患者進(jìn)行Cooney腕關(guān)節(jié)功能評分。兩組患者年齡分布、性別差異無顯著性意義(P0.05)。結(jié)果：隨訪3-6個(gè)月對比分析石膏組和空心螺釘組患者腕關(guān)節(jié)功能Cooney評分,空心螺釘組優(yōu)9例,良1例,可1例,差0例：石膏組優(yōu)1例,良5例,可3例,差2例,空心螺釘組患者治療后優(yōu)良率為91%,石膏組患者治療后優(yōu)良率為55%,空心螺釘組顯著高于石膏組(t=4.817,P0.05)。結(jié)論：雖然石膏固定在腕部舟狀骨新鮮骨折上具有一定的療效,但在治療后腕關(guān)節(jié)功能恢復(fù)方面,新鮮腕部舟狀骨骨折切開復(fù)位空心螺釘內(nèi)固定具有明顯的療效并且患者腕關(guān)節(jié)功能恢復(fù)較快。因此與石膏固定相比,切開復(fù)位空心螺釘內(nèi)固定修復(fù)腕部新鮮舟狀骨骨折更具優(yōu)勢。
[Abstract]:Objective: To compare and analyze the functional recovery of fresh fractures of the scaphoid in the wrist repaired with plaster fixation and hollow screw internal fixation. Methods: 22 fresh scaphoid fractures were treated in the First Affiliated Hospital of Xinjiang Medical University from March 2012 to July 2014, all of them were fresh canoe bone fracture and 2h-12d. patients were injured. The anterior X ray film showed no scaphoid collapse of the wrist, dislocation of the bone around the moon, ischemic osteonecrosis and bone change. All cases were displaced and unstable fractures. According to the patient's wishes and surgical methods, the curative effect pairs were divided into the gypsum group and the hollow screw group, with 11 cases in each group. The two groups were followed up. Cooney wrist joint function score. There was no significant gender difference in age distribution between the two groups (P0.05). Results: after 3-6 months of follow-up, the wrist joint function Cooney score of the plaster group and the hollow screw group was compared and analyzed. There were 9 cases of hollow screw group, 1 good cases, 1 cases, 0 poor cases, good 5 cases, 3 cases, 2 poor cases, and hollow screw group. The good rate after treatment was 91%, the good rate after the treatment in the plaster group was 55%, and the hollow screw group was significantly higher than the plaster group (t=4.817, P0.05). Conclusion: Although the plaster fixation has a certain effect on the wrist scaphoid bone fresh fracture, the fresh wrist scaphoid fracture is open and repositioned with hollow screw in the wrist joint function recovery side. The fixation has a significant effect and the function of the wrist joint is faster. Therefore, compared with the plaster fixation, open reduction and internal fixation with hollow screw for the repair of the fresh scaphoid fracture of the wrist has a better advantage.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R687.3

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