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陈旧性手舟状骨骨折的治疗

Treatment of Old hand Scaphoid Bone Fracture
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摘要 目的研究陈旧性手舟状骨骨折的治疗效果。方法随机抽取该院62例陈旧性手舟状骨骨折患者,分为对照组(n=31,带血管蒂的桡骨瓣加高压氧)与观察组(n=31,切开复位植骨克氏针内固定联合桡骨茎突切除术),观察腕关节恢复情况与术后疼痛状况、骨折愈合率。结果观察组腕关节功能优良率、术后疼痛评分分别为83.87%与(1.3±0.4)分,对照组为38.71%与(2.7±0.6)分,差异具有统计学意义(P<0.05)。结论切开复位植骨克氏针内固定联合桡骨茎突切除术应用于陈旧性手舟状骨骨折疗效确切,值得临床推广。 Objective To study the effect of old hand scaphoid bone fractures.Methods Sixty-two patients with old hand scaphoid bone fractures were randomly divided into control group(n=31,radial ulcer with vascular pedicle plus hyperbaric oxygen)and observation group(n=31,internal fixation combined with radial styloid process),the recovery of the wrist and postoperative pain,fracture healing rate were observed.Results The excellent rate of wrist function was 83.87% and(1.3±0.4)points in the observation group,38.71% and(2.7±0.6)points in the control group,the difference was statistically significant(P<0.05).Conclusion Open reduction and bone graft Kirschner wire fixation combined with radial styloid process is effective in the treatment of old hand scaphoid bone fractures and is worthy of clinical promotion.
作者 陈梅
机构地区 合肥市滨湖医院
出处 《大医生》 2017年第5期151-151,157,共2页 Doctor
关键词 陈旧手舟状骨骨折 克氏针内固定 桡骨茎突切除 Old hand scaphoid bone fracture Kirschner wire fixation Radial styloid process resection
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