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克氏针与微型钢板内固定治疗掌指骨骨折的疗效对比研究
引用本文:高斌. 克氏针与微型钢板内固定治疗掌指骨骨折的疗效对比研究[J]. 航空航天医学杂志, 2016, 0(10): 1231-1233. DOI: 10.3969/j.issn.2095-1434.2016.10.012
作者姓名:高斌
作者单位:大连市中心医院手足外二科,辽宁大连,116033
摘    要:目的:探讨克氏针与微型钢板内固定在掌指骨骨折患者中的临床治疗效果。方法选取2015年1月-2015年12月诊治的120例掌指骨骨折患者资料进行分析,采用随机对照方法将患者分为对照组和实验组,对照组采用克氏针内固定治疗,实验组采用微型钢板治疗,比较两组疗效。结果实验组住院时间、手术时间,显著多于对照组( P<0.05);实验组骨折愈合时间,显著短于对照组(P<0.05);实验组治疗总有效率为95%,高于对照组(90%)(P<0.05);实验组治疗满意率为95%,显著高于对照组(65%)( P<0.05)。结论掌指骨骨折患者采用微型钢板治疗效果理想,外观效果较好,但是手术时间、住院时间较长,患者应根据自身情况选择合适的治疗方法。

关 键 词:克氏针  微型钢板内固定  掌指骨骨折  治疗效果

Clinical Study on the Effect of Kirschner Wire and Mini Plate Internal Fixation in the Treatment of Metacarpal and Phalangeal Fractures
Abstract:Objective To investigate the effect of Kirschner wire and mini plate internal fixation in the treatment of metacarpal and phalangeal fractures in patients with clinical effect.Methods Select 120 cases of metacarpal and phal-angeal fractures ( From January 2015 to December 2015 in our hospital).Using randomized controlled methods, patients were divided into experimental group and control group.The patients in control group were treated with Kirschner wire internal fixation, and the others in experimental group were treated with mini plate.Efficacy was compared between the two groups.Results The hospital time and operation time of experimental group is significantly higher than that of control group (P<0.05);The fracture healing time of experimental group was shorter than that of the control group (P<0.05); In experimental group, the total efficiency is 95%, and it is significantly higher than the control group (90%) (P<0.05);In experimental group, the satisfactory rate was 95%,and it is significantly higher than that of the control group (65%) (P<0.05).Conclusions The metacarpal and phalangeal fractures were treated with mini plate shows that the treatment effect is ideal, the appearance effect is better, but operation time, hospitalization time is longer, the patients should choose the suitable treatment methods according to their own situation.
Keywords:Kirschner  miniplate internal fixation  of metacarpal and phalangeal fractures  treatment effect
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