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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:

第28卷

期数:

2016年07期

页码:

42-45

栏目:

临床研究

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; 梁晓丽; 吴红军

山东省文登整骨医院,山东 文登 264400

Author(s):

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

The Wendeng Osteopath Hospital,Wendeng 264400,Shandong,China

关键词:

掌骨;  腕掌关节;  骨折;  脱位;  骨折固定术; 内;  疗效比较研究

Keywords:

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

摘要:

目的:比较闭合复位内固定和切开复位内固定治疗Bennett骨折的临床疗效。方法:回顾性分析42例Bennett骨折患者的病例资料,其中24例采用闭合复位内固定、18例采用切开复位内固定。男26例,女16例。年龄18～61岁,中位数32岁。Bennett骨折参照Büchler等制定的标准,Ⅰ型9例、Ⅱ型21例、Ⅲ型12例。受伤至手术时间1～7 d,中位数3 d。比较2组患者的骨折复位情况及拇指腕掌关节功能。结果:所有患者均获随访,随访时间3～12个月,中位数6个月。采用Kjaer-petersen标准评价骨折复位情况,闭合复位内固定组优10例、良11例、差3例,切开复位内固定组优12例、良6例; 2组患者的骨折复位情况比较,差异无统计学意义(Z=-1.801,P=0.072)。采用拇指腕掌关节功能评定标准评定拇指腕掌关节功能,闭合复位内固定组优10例、良9例、差5例,切开复位内固定组优11例、良5例、差2例; 2组患者的拇指腕掌关节功能比较,差异无统计学意义(Z=-1.266,P=0.205)。结论:闭合复位内固定治疗Bennett骨折,临床疗效与切开复位内固定相当,但其具有操作简单及组织创伤小等优点,值得临床推广应用。

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.

备注/Memo

备注/Memo:

2016-01-25收稿 2016-04-08修回

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