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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:

第28卷

期數(shù):

2016年07期

頁(yè)碼:

42-45

欄目:

臨床研究

出版日期:

2016-07-20

文章信息/Info

Title:

Clinical study on minimally invasive transforaminal lumbar interbody fusion combined with traditional Chinese medicine packet therapy for treatment of lumbar spondylolisthesis

作者:

王晨霖; 李丹; 隋海明; 梁曉麗; 吳紅軍

山東省文登整骨醫(yī)院,山東 文登 264400

Author(s):

WANG Chenlin; LI Dan; SUI Haiming; LIANG Xiaoli; WU Hongjun

The Wendeng Osteopath Hospital,Wendeng 264400,Shandong,China

關(guān)鍵詞:

掌骨;  腕掌關(guān)節(jié);  骨折;  脫位;  骨折固定術(shù); 內(nèi);  療效比較研究

Keywords:

metacarpal bones;  carpometacarpal joints;  fractures;  dislocations;  fracture fixation; internal;  comparative effectiveness research

摘要:

目的:比較閉合復(fù)位內(nèi)固定和切開復(fù)位內(nèi)固定治療Bennett骨折的臨床療效。方法:回顧性分析42例Bennett骨折患者的病例資料,其中24例采用閉合復(fù)位內(nèi)固定、18例采用切開復(fù)位內(nèi)固定。男26例,女16例。年齡18～61歲,中位數(shù)32歲。Bennett骨折參照Büchler等制定的標(biāo)準(zhǔn),Ⅰ型9例、Ⅱ型21例、Ⅲ型12例。受傷至手術(shù)時(shí)間1～7 d,中位數(shù)3 d。比較2組患者的骨折復(fù)位情況及拇指腕掌關(guān)節(jié)功能。結(jié)果:所有患者均獲隨訪,隨訪時(shí)間3～12個(gè)月,中位數(shù)6個(gè)月。采用Kjaer-petersen標(biāo)準(zhǔn)評(píng)價(jià)骨折復(fù)位情況,閉合復(fù)位內(nèi)固定組優(yōu)10例、良11例、差3例,切開復(fù)位內(nèi)固定組優(yōu)12例、良6例; 2組患者的骨折復(fù)位情況比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(Z=-1.801,P=0.072)。采用拇指腕掌關(guān)節(jié)功能評(píng)定標(biāo)準(zhǔn)評(píng)定拇指腕掌關(guān)節(jié)功能,閉合復(fù)位內(nèi)固定組優(yōu)10例、良9例、差5例,切開復(fù)位內(nèi)固定組優(yōu)11例、良5例、差2例; 2組患者的拇指腕掌關(guān)節(jié)功能比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(Z=-1.266,P=0.205)。結(jié)論:閉合復(fù)位內(nèi)固定治療Bennett骨折,臨床療效與切開復(fù)位內(nèi)固定相當(dāng),但其具有操作簡(jiǎn)單及組織創(chuàng)傷小等優(yōu)點(diǎn),值得臨床推廣應(yīng)用。

Abstract:

Objective:To compare the clinical curative effects of closed reduction internal fixation versus open reduction internal fixation in the treatment of Bennett fractures.Methods:The medical records of 42 patients with Bennett fractures were analyzed retrospectively.Twenty-four patients were treated with closed reduction internal fixation(group A),while the others were treated with open reduction internal fixation(group B).The patients consisted of 26 males and 16 females,and ranged in age from 18 to 61 years(Median=32 yrs).The fractures belonged to typesⅠ(9),Ⅱ(21)andⅢ(12)according to the classification standards of Bennett fracture established by Büchler,and ranged in disease course from 1 to 7 days(Median=3 days).The fracture reduction and the function of thumb and carpometacarpal joints were compared between the 2 groups.Results:The patients in the 2 groups were followed up for 3-12 months with a median of 6 months.The results of fracture reduction were evaluated by using Kjaer-petersen evaluation standard.Ten patients obtained an excellent result,11 good and 3 poor in group A; while 12 patients obtained an excellent result and 6 good in group B.There was no statistical differences in results of fracture reduction between the 2 groups(Z=-1.801,P=0.072).Ten patients obtained an excellent result,9 good and 5 poor in group A; while 11 patients obtained an excellent result,5 good and 2 poor in group B in the function of thumb and carpometacarpal.There was no statistical differences in the function of thumb and carpometacarpal joints between the 2 groups(Z=-1.266,P=0.205).Conclusion:Closed reduction internal fixation is similar to open reduction internal fixation in the clinical curative effect in treatment of Bennett fractures,however,the former has such advantages as easier operation and less injury,so it is worthy of popularizing in clinic.

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2016-01-25收稿 2016-04-08修回

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