摘要
目的探讨双克氏针顺行髓内固定治疗第5掌骨颈骨折的疗效观察。方法选取2015年2月1日至2016年2月1日在我院接受治疗的第5掌骨颈骨折患者92例,采用随机数表法将患者分为两组,每组各46例,观察组给予双克氏针顺行髓内固定治疗,对照组给予传统微型髁钢板螺钉内固定。随访半年,比较两组患者的临床疗效情况;观察对比两组患者手术及愈合时间、手术出血量以及手术费用;比较两组患者不良反应发生情况。结果观察组总有效率(95.7%)高于对照组(71.7%),具有统计学意义(P<0.05);观察组的手术时间(18.2±3.5)min少于对照组(25.1±4.9)min,观察组手术出血量(7.9±2.3)m L低于对照组(14.8±4.1)m L,观察组手术费用(723.8±90.3)元少于对照组(998.2±111.3)元,观察组骨折愈合时间(52.8±3.4)d少于对照组(56.2±4.5)d,均具有统计学意义(P<0.05);治疗后,观察组不良反应发生率(8.7%)低于对照组(30.5%),两组比较具有统计学意义(P<0.05)。结论运用双克氏针顺行髓内固定治疗第5掌骨颈骨折临床效果显著,能有效提高治疗的总有效率,减少手术时间以及术中出血量,手术费用低,愈合时间短,后期不良反应发生率低,效果理想,临床上值得广泛运用。
Objective To explore the curative effect of the treatment of the fifth metacarpal neck fracture with the Kirschner wire.Methods A total of 92 patients with 5 metacarpal and cervical fractures who were treated from February 1,2015 to February1,2016 randomly divided the patients into two groups,46 patients in each group,In the patients,the observation group was treated with double Kirschner wire and the medullary fixation treatment.The control group was treated with internal miniature condylar plate screw fixation.The patients were followed up for six months.The clinical curative effect of the two groups was compared.The operation and healing time,the bleeding volume and the operation cost were compared between the two groups.The adverse reactions were compared between the two groups.Results The total efficiency of the observation group（95.7%）was higher than the control group（71.7%）,the two groups was statistically significant（P〈0.05）;the operation time of the observation group（18.2±3.5）min less than that of the control group（25.1±4.9）min,observation group surgery bleeding（7.9±2.3）ml lower than the control group（14.8±4.1）ml,observation group surgery costs（723.8±90.3）yuan less than the control group（998.2±111.3）,the observation group fracture healing time（52.8±3.4）d less than that of the control group（56.2±4.5）d,the two groups was statistically significant（P〈0.05）;after the treatment.The observation group adverse reaction rate（8.7%）than in the control group（30.5%）,the two groups was statistically significant（P〈0.05）.Conclusion The treatment of the 5 th metacarpal and cervical fractures with double Kirschner wire is effective,can improve the total effective rate of treatment,reduce the operation time and intraoperative blood loss,low operation cost,short healing time and short The incidence of response is low,the effect is ideal,clinically worthy of extensive use.
出处
《哈尔滨医药》
2017年第5期413-414,417,共3页
Harbin Medical Journal
基金
惠州市科技计划项目(20160802)
关键词
双克氏针
顺行髓内固定
第5掌骨颈骨折
疗效观察
Double kirschner wire
Anterograde intramedullary fixation
Fifth metacarpal neck fracture
Efficacy observation
