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掌骨骨折施以微型鋼板內(nèi)固定治療效果分析

發(fā)布時(shí)間:2018-06-24 來源: 散文精選 點(diǎn)擊:


  [摘要] 目的 分析掌骨骨折施以微型鋼板內(nèi)固定治療的臨床效果。方法 方便篩選 2011年3月—2016年3月該院收治療的107例掌骨骨折患者,以不同手術(shù)方法為依據(jù)分組:治療組(n=53例,以微型鋼板內(nèi)固定治療),對照組(n=54例,以克氏針交叉固定治療),同時(shí)觀察、對照2組臨床效果。結(jié)果 術(shù)后,治療組優(yōu)良率100.00%(53/53),比對照組81.48%(44/54)高,差異有統(tǒng)計(jì)學(xué)意義(P<0.05);并發(fā)癥發(fā)生率5.66%(3/53),明顯低于對照組27.78%(15/56),差異有統(tǒng)計(jì)學(xué)意義(P<0.05);治療組住院時(shí)長(5.4±1.3)d、骨折愈合時(shí)長(51.2±10.6)d,均短于對照組(6.8±0.6)、(67.1±12.5)d,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論 臨床以微型鋼板內(nèi)固定療法治療掌骨骨折,應(yīng)用效果比克氏針交叉固定更顯著,可在提升臨床治療優(yōu)良率的基礎(chǔ)上,縮減患者術(shù)后住院時(shí)長及骨折愈合時(shí)長,有效防治并發(fā)癥,臨床操作起來安全性較高,建議推薦。
  [關(guān)鍵詞] 掌骨骨折;微型鋼板內(nèi)固定;治療效果
  [中圖分類號] R687 [文獻(xiàn)標(biāo)識碼] A [文章編號] 1674-0742(2018)01(c)-0107-03
  [Abstract] Objective This paper tries to analyze the clinical effect of metacarpal fractures treated with micro plate internal fixation. Methods A total of 107 patients with metacarpal fractures received from March 2011 to March 2016 were eolled in this study. The patients were divided into two groups: treatment group(n=53, treated with micro-plate internal fixation), control group (n=54, treated with Kirschner wire fixation), and the clinical effects of the two groups were observed. Results After treatment, the excellent and good rate of the treatment group was 100.00%(53/53), higher than that of the control group of 81.48%(44/54),the difference was statistically significant(P<0.05). The complication rate was 5.66%(3/53), significantly lower than the control group of 27.78%(15/56),the difference was statistically significant(P<0.05). The hospitalized time of the treatment group was (5.4±1.3)d, fracture healing time was(51.2±10.6)d, which were shorter than those in the control group of (6.8±0.6), (67.1±12.5)d,the difference was statistically significant(P<0.05). Conclusion Clinical treatment of metacarpal fracture with mini-plate internal fixation is more effective than cross-fixation with Kirschner wire. On the basis of improving the excellent rate of clinical treatment, the length of postoperative hospital stay and the duration of fracture healing can be reduced, and the complications can be effectively controlled, with high safety operation, so it is recommended.
  [Key words] Metacarpal fracture; Micro-plate internal fixation; Treatment effect
  掌骨骨折是臨床骨科較常見的病癥之一,骨折后患者的日常活動(dòng)會受限制,若未得到及時(shí)救治,則很有可能會伴發(fā)骨折畸形愈合、關(guān)節(jié)僵硬等病癥,從而影響患者的日常生活[1]。為了解掌骨骨折施以微型鋼板內(nèi)固定治療的臨床效果,該次研究方便選擇2011年3月—2016年3月該院接收、治療的107例掌骨骨折患者作研究對象,現(xiàn)將結(jié)果作如下報(bào)道。
  1 對象與方法
  1.1 研究對象
  研究對象方便選取該院收治的107例掌骨骨折患者,分成2組:治療組53例,男/女:33例/20例;年齡介于18~72歲,年齡均值(39.5±3.4)歲;對照組54例,男/女:33例/21例;年齡介于18~75歲,年齡均值(40.6±2.4)歲。對2組以上臨床信息作比對,發(fā)現(xiàn)結(jié)果差異無統(tǒng)計(jì)學(xué)意義(P>0.05),具有可比性。

相關(guān)熱詞搜索:掌骨 施以 鋼板 骨折 治療效果

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