摘要
目的探讨掌侧入路经皮空心螺钉固定治疗手舟骨骨折的效果。方法回顾性选取2018年6月到2020年6月武警广东省总队医院收治的76例手舟骨骨折患者作为研究对象,按照手术方案的差异将其分为对照组(n=38)和研究组(n=38)。对照组采用背侧入路固定治疗,研究组采用掌侧入路经皮空心螺钉固定治疗。比较两组患者疗效、疼痛度及临床指标以及腕关节功能。结果研究组优良率高于对照组,差异有统计学意义(P<0.05)。两组手术前疼痛度评分比较,差异无统计学意义(P>0.05);研究组术后3、6个月的疼痛度评分低于对照组,差异有统计学意义(P<0.05)。研究组术中失血量、骨折愈合时间少于对照组,差异有统计学意义(P<0.05)。两组患者手术前腕关节自我问卷(patient-rated wrist evaluation,PRWE)评分、Mayo腕关节评分比较,差异无统计学意义(P>0.05)。研究组术后6个月的PRWE评分低于对照组,差异有统计学意义(P<0.05)。研究组术后6个月的Mayo腕关节评分高于对照组,差异有统计学意义(P<0.05)。结论手舟骨骨折通过掌侧入路经皮空心螺钉固定治疗可提升疗效及腕关节功能,减轻术后疼痛度,促进愈合,值得应用。
Objective To investigate the effect of palmar approach percutaneous cannulated screw fixation for the treatment of scaphoid fractures.Methods A total of 76 patients with scaphoid fracture admitted to Guangdong Armed Police Corps Hospital from June 2018 to June 2020 were retrospectively selected as the study subjects.They were divided into control group(n=38)and study group(n=38)by the method of difference in surgical plan.The control group was treated with dorsal approach while the study group was treated with palmar approach.The efficacy,pain degree,clinical indicators and wrist function of the two groups were compared.Results The excellent and good rate of the study group was higher than that of the control group,with statistical significance(P<0.05).There was no significant difference in the pain score between the two groups before operation(P>0.05).The pain score of the control group at 3 and 6 months after operation were lower than those of study group,with statistical significances(P<0.05).The intraoperative blood loss and fracture healing time in the study group were less than those in the control group,with statistical significances(P<0.05).There were no significant differences between the two groups in the preoperative wrist self questionnaire(PRWE)score and Mayo wrist score(P>0.05).The PRWE score of the study group at 6 months after operation was lower than that of the control group,with statistical significance(P<0.05).The Mayo wrist score in the study group 6 months after operation was higher than that in the control group,with statistical significance(P<0.05).Conclusion The treatment of scaphoid fracture through palmar approach with percutaneous cannulated screw fixation can improve the curative effect and function of wrist joint,reduce postoperative pain,promote healing,and is worthy of application.
作者
单战
李乔
吴金春
杨军
SHAN Zhan;LI Qiao;WU Jinchun;YANG Jun(The Second Department of Surgery,Guangdong Armed Police Corps Hospital,Guangdong Province,Guangzhou 510507,China)
出处
《中国当代医药》
CAS
2022年第20期77-80,共4页
China Modern Medicine
基金
广东省医学科学技术研究基金项目(A2021272)。
