摘要
目的针对掌指骨开放性骨折患者,研究比较三种不同固定方法的临床急诊治疗效果。方法以79例掌指骨开放性骨折患者为对象,将其中实施克氏针固定的28例患者作为A组,微型钢板固定的25例患者作为B组,微型外固定支架固定的26例患者作为C组,将三组的骨折愈合效果以及并发症情况做比较分析。结果A组的愈合率(92.86%)与B组(96.00%)以及C组(96.15%)对比无统计学差异(P>0.05);B组的愈合时长明显少于A组,两组对比有统计学差异(P<0.05);C组的愈合时长明显少于A组,两组对比有显著差异(P<0.05)。A组的并发症发生率(28.57%)与B组(20.00%)和C组(15.38%)对比无统计学差异(P>0.05)。结论三种不同固定方法对掌指骨开放性骨折都有较好的效果,需要根据患者的实际情况选择合适的固定方法。
Objective To study and compare the clinical emergency treatment effect of three different fixation methods for open fracture of metacarpophalangeal bone.Methods Seventy-nine patients with open fracture of metacarpal and phalangeal bone were selected as the subjects,28 patients were treated with Kirschner wire as group A,25 patients with mini plate as group B,and 26 patients with mini external fixation as group C.the healing effect and comorbidity of the three groups were compared and analyzed.Results There was no significant difference in the healing rate of group A(92.86%)compared with group B(96.00%)and group C(96.15%)(P>0.05).The healing time of group B was significantly shorter than that of group A(P<0.05).The healing time of group C was significantly shorter than that of group A(P<0.05).There was no significant difference in the incidence of complications between group A(28.57%)and group B(20.00%)and group C(15.38%)(P>0.05).Conclusion Three different fixation methods have good effect on the open fracture of metacarpal and phalangeal bone.It is necessary to choose the appropriate fixation method according to the actual situation of patients.
作者
李靖辉
LI Jing-hui(Emergency Department,Dunhua Hospital of Traditional Chinese Medicine,Dunhua,Jilin 133700)
出处
《智慧健康》
2020年第31期69-70,共2页
Smart Healthcare
关键词
掌指骨开放性骨折
克氏针
微型钢板
微型外固定支架
Open fracture of metacarpal and phalangeal bone
Kirschner wire
Micro steel plate
Micro external fixator
