摘要
目的探讨近排腕骨切除术在手腕部手术中的应用效果。方法选取2015年1月～2017年12月江西省大余县人民医院收治的手腕部需手术治疗的98例患者作为研究对象,根据研究方法的不同分为对照组和观察组,每组各49例。对照组实施临床常规手术治疗,观察组实施近排腕骨切除术治疗,比较两组患者的临床恢复优良率、术后疼痛评分(VAS)、腕关节功能评分(Cooney)及双手握力。结果两组患者临床恢复优良率、Cooney评分比较,差异无统计学意义(P>0.05);观察组的术后VAS评分低于对照组,差异有统计学意义(P<0.05);观察组的患侧握力高于对照组,差异有统计学意义(P<0.05)。结论近排腕骨切除术后腕关节保留了一定的活动度,能有效地缓解患者的疼痛,能部分保留患者术后腕关节功能。
Objective To explore the application effect of proximal row carpectomy in wrist surgery. Methods A total of 98 patients with wrist surgery in Dayu People′s Hospital of Jiangxi Province from January 2015 to December 2017 were selected as the research objects, according to the different research methods, they were divided into control group and observation group, with 49 cases in each group. The control group was treated with routine operation, while the observation group was treated with proximal row carpectomy, the clinical excellent and good rate, postoperative pain score (VAS), wrist function score (Cooney) and hand grip strength were compared between the two groups. Results There were no significant differences in clinical recovery rate and Cooney score between the two groups (P>0.05). The VAS score of the observation group was lower than that of the control group, the difference was significant (P<0.05). The grip strength of the affected side in the observation group was higher than that in the control group, the difference was significant (P<0.05). Conclusion After proximal row carpectomy, wrist joint retains certain range of motion, which can effectively alleviate the pain of patients and partly preserve the wrist function of patients after operation.
作者
吴渊
张志明
周油山
郭世万
邱林
杨月明
WU Yuan;ZHANG Zhi-ming;ZHOU You-shan;GUO Shi-wan;QIU Lin;YANG Yue-ming(Department of the Second Surgery, Dayu People′s Hospital of Jiangxi Province, Dayu 341500, China;Department of Orthopedics, Ruijin Hospital of Traditional Chinese Medicine, Jiangxi Province, Ruijin 342500, China)
出处
《中国当代医药》
2019年第4期121-123,共3页
China Modern Medicine
基金
江西省赣州市指导性科技计划项目(GZ2016ZSF298)
关键词
近排腕骨切除术
腕关节功能
应用效果
Proximal row carpectomy
Wrist joint function
Application effect
