经皮微创螺钉内固定术治疗掌指骨骨折的效果分析.docVIP

经皮微创螺钉内固定术治疗掌指骨骨折的效果分析 　　[摘要] 目的 探讨经皮微创螺钉内固定术治疗掌指骨骨折的临床效果。 方法 选择74例掌指骨骨折患者，随机分为对照组和治疗组，每组37例。对照组患者采用外固定治疗，治疗组患者采用经皮微创螺钉内固定术治疗，观察两组治疗效果。 结果 治疗组治疗效果明显优于对照组；掌指功能恢复正常时间和术后住院治疗时间明显短于对照组；围术期不良反应发生率低于对照组；掌指功能评分的改善幅度明显大于对照组。 结论 应用经皮微创螺钉内固定术对掌指骨骨折患者实施治疗的临床效果非常明显。 　　[关键词] 经皮微创螺钉内固定术；掌指骨骨折；治疗 　　[中图分类号] R683 [文献标识码] A [文章编号] 1674-4721（2013）07（a）-0045-02 　　Minimally invasive percutaneous screw fixation in the treatment outcome of metacarpal and phalangeal fracture analysis 　　DU Zhi-wei 　　Department of Orthopedic Surgery， First Peoples Hospital of Siping City in Jilin Province， Siping 136001，China 　　[Abstract] Objective To investigate the clinical effect of minimally invasive percutaneous screw fixation in treatment of palm phalanx fractures. Methods 74 cases of patients with palm phalanx fractures were randomly divided into treatment group and control group， 37 cases in each group. Patients in control were given external fixation； and patients in treatment group were given minimally invasive percutaneous screw fixation. Results The clinical effect of treatment group was significantly better than the control group； metacarpophalangeal function recovery time and postoperative hospitalization time was shorter than the control group； the number of peri operation period of adverse reactions was less than that of the control group； metacarpophalangeal function score improved amplitude was significantly larger than that of the control group. Conclusion The clinical effect of minimally invasive percutaneous screw fixation in treatment of palm phalanx fractures is very obvious. 　　[Key words] Minimally invasive percutaneous screw fixation； Metacarpal and phalangeal fractures； Treatment 　　手部掌指骨的骨折是临床上常见的一种上肢损伤类疾病。手部的生理解剖结构相对比较复杂，通常骨折手术治疗要求达到解剖复位，以使手部功能得到完全恢复[1]。本研究对掌指骨骨折患者在治疗过程中应用经皮微创螺钉内固定术的临床效果进行研究。 　　1 资料和方法 　　1.1 一般资料 　　选择2010年9月～2012年9月本院收治的74例掌指骨骨折患者，随机分为对照组和治疗组。对照组患者中，男21例，女16例；患者年龄23～68岁，平均（45.7±1.2）岁；发病时间1～16 h，平均（5.3±0.8） h；治疗组患者中，男23例，女14例；患者年龄24～69岁，平均（45.9±1.3）岁