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关于指骨论文范文 两种内固定方法治疗掌指骨骨折疗效观察相关论文写作参考文献

分类:毕业论文 原创主题:指骨论文 更新时间:2024-03-12

两种内固定方法治疗掌指骨骨折疗效观察是关于本文可作为指骨方面的大学硕士与本科毕业论文指骨论文开题报告范文和职称论文论文写作参考文献下载。

【摘 要】目的探究克氏針内固定或微型钢板置入内固定治疗掌指骨骨折的临床疗效.方法回顾性分析2014年1月~2016年1月间收治的110例掌指骨骨折患者临床资料,根据内固定方法分为研究组(微型钢板置入,n等于52例/67处)和对照组(克氏针,n等于58例/74处).随访1年,观察两组恢复进程(住院时间、康复训练开始时间、骨折愈合时间),评估随访3个月后疗效,记录不良事件发生率.结果①110例患者141处骨折均获得随访,随访时间3~14个月,术后随访中所有骨折均愈合,无肌腱断裂、不愈合等情况出现;对照组中4例因感染致使骨折愈合延迟,经治疗后恢复良好.②研究组康复训练开始时间和骨折愈合时间短于对照组(P<0.001),两组住院时间对比差异无统计学意义(P>0.05);随访3个月,研究组疗效优良率高于对照组(P<0.05).③研究组总不良反应发生率较对照组低(P<0.05).结论微型钢板置入治疗掌指骨骨折较克氏针内固定疗效优良率高,且可降低患者不良反应发生率和缩短其恢复进程,临床应用价值可观.

【关键词】骨折;掌指骨;克氏针;微型钢板;内固定

中图分类号:R683.41 文献标识码:ADOI:10.3969/j.issn.10031383.2018.02.016

Observation of therapeutic effect of two internal fixation

methods for metacarpophalangeal fracture

KONG Xiangtao,ZHAO Bing

(The Second People’s Hospital of Xinxiang,Xinxiang 453000,China)

【Abstract】ObjectiveTo investigate the clinical effect of Kirschner wire internal fixation and miniplate internal fixation in the treatment of metacarpophalangeal fracture.MethodsThe clinical data of 110 patients with metacarpophalangeal fracture admitted to hospital from January 2014 to January 2016 were analyzed retrospectively.According to the internal fixation method,all patients were divided into two groups:study group (n等于52/67 metacarpophalangeal fractures) and control group (n等于58/74 metacarpophalangeal fractures).The patients were followed up for one year to observe recovery process (hospitalization time,the start time of rehabilitation training and fracture healing time).The curative effect was evaluated after 3 months of followup,and the incidence of adverse events was recorded.Results ①110 patients with 141 metacarpophalangeal fractures were followed up for 3~14 months.All the fractures were healed,no tendon rupture and nonunion occurred during the followup,while 4 cases in the control group were delayed to heal due to infection,and recovered well after treatment.② The start time of rehabilitation training and fracture healing time of the study group were shorter than those of the control group(P<0.001),and the difference of hospitalization time between the 2 groups was not statistically significant(P>0.05).After 3 months of followup,the excellent and good rate in the study group was higher than that in the control group (P<0.05).③The incidence of total adverse reactions in the study group was lower than that in the control group(P<0.05).ConclusionMiniplate internal fixation for metacarpophalangeal fracture is better than Kirschner wire internal fixation,it is effective in reducing the incidence of adverse reactions and shortening the process of recovery with considerable value of clinical application.

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参考文献:

1、 微创下内固定术治疗上肢骨折的临床效果 【摘要】 目的 观察微创下内固定术治疗上肢骨折的临床效果, 为上肢骨折的临床治疗提供参考。方法 100例上肢骨折患者为研究对象, 随机分为观察组。

2、 3种胰岛素应用方案治疗2型糖尿病疗效观察 [摘要] 目的 為临床2型糖尿病的治疗提供用药参考。方法 选取2015年2月—2017年1月期间2型糖尿病136例患者作为研究对象,随机分A组:。

3、 锁定钢板内固定治疗胫骨平台骨折疗效分析 DOI:10 16662 j cnki 1674-0742 2017 23 084[摘要] 目的 观察与分析治疗胫骨平台骨折运用锁定钢板内固定。

4、 面膜膏和胶布治疗小儿脐疝疗效观察 【摘要】目的 探讨小儿脐疝的治疗方法。 方法 85例患儿采用面膜膏保护皮肤,胶布包扎,绷带固定的非手术治疗方法。结果 85例治愈,治愈率100%。

5、 关节镜治疗肱骨大结节骨折疗效观察 摘 要 目的:观察关节镜治疗肱骨大结节骨折的疗效。方法:收集肱骨大结节骨折患者36例,均经X线检查确诊,并接受关节镜治疗,对比治疗前后患者肩关节。