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尺骨远段切除术与新式改良Sauve-Kapandji术治疗下尺桡关节脱位的临床疗效

Clinical efficacy of distal segment ulna resection and new modified Sauve-Kapandji in the treatment of dislocation of distal radioulnar joint
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摘要 目的比较尺骨远段切除术与新式改良Sauve-Kapandji术治疗下尺桡关节脱位的临床疗效。方法将60例下尺桡关节脱位患者随机分为对照组和治疗组,各30例。对照组采用尺骨远段切除术,治疗组采用新式改良Sauve-Kapandji术治疗。比较两组的治疗效果。结果治疗组治疗总有效率明显高于对照组(P<0.05);治疗组的总感染率明显低于对照组(P<0.05);治疗后,两组的VAS评分均显著降低,且治疗组明显低于对照组(P<0.05)。结论新式改良Sauve-Kapandji手术治疗下尺桡关节脱位的效果明显优于尺骨远段切除术,其可有效缓解的患者疼痛,降低感染率,促进患者良好预后。 Objective To compare the clinical effects of distal segment ulna resection and new modified Sauve-Kapandjiin the treatment of dislocation of distal radioulnar joint. Methods Sixty patients with dislocation of distal radioulnar jointwere randomly divided into control group and treatment group, with 30 cases in each group. The control group was treatedwith distal segment ulna resection, and the treatment group was treated with new modified Sauve-Kapandji. The therapeuticeffects of the two groups were compared. Results The total effective rate of treatment in the treatment group wassignificantly higher than that in the control group (P〈0.05). The total infection rate in the treatment group was significantlylower than that in the control group(P〈0.05). After treatment, the VAS scores of the two groups significantly decreased, andthat in the treatment group was significantly lower than the control group (P〈0.05). Conclusion The effect of new modifiedSauve-Kapandji in the treatment of dislocation of distal radioulnar joint is superior to distal segment ulna resection. It caneffectively relieve pain of patients, reduce infection rate and promote a good prognosis of patients.
作者 范朝铭 任洋 FAN Zhao-ming;REN Yang(the First People's Hospital of Xianyang City,Xianyang 712000;the People's Hospital of Yang County,Hanzhong 723300,China)
出处 《临床医学研究与实践》 2018年第32期66-67,共2页 Clinical Research and Practice
关键词 尺骨远段切除术 新式改良Sauve-Kapandji术 下尺桡关节脱位 distal segment ulna resection new modified Sauve-Kapandji dislocation of distal radioulnar joint
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