摘要
目的 探讨非手术及手术治疗新鲜腕部舟状骨骨折的疗效比较。方法：分析2005年3月至2009年6月23例新鲜舟状骨骨折患者的临床资料，其中骨折无移位患者11例，行保守治疗；骨折移位和骨折无移位要求手术尽早恢复的患者共12例，行手术治疗。结果术后随访6～12个月，平均7个月。行手术治疗的患者切口均一期愈合，骨折愈合时间8例为术后8周，4例为术后10周。参考Krimmer评分表对腕关节功能评分，优10例，良2例，功能评分（78．2±10．1）分。行保守治疗的11例患者骨折愈合8例，均在3个月以后，3例3个月后出现骨折断端边缘萎缩和硬化、骨吸收的不愈合及缺血坏死表现。在行保守治疗，且骨折愈合的8例患者中，参考Krimmer评分表对腕关节功能评分，优3例，良2例，满意3例，功能评分（61．0±12．1）分。2组恢复情况及功能评分差异有统计学意义（P〈0．05）。结论早期积极手术治疗可以很大程度上减少骨折不愈合的因素，减少并发症的发生。
Objective To investigate the non-surgical and surgical treatment of fresh fractures of the scaphold wrist. Methods Twenty-three patients of hollow screws styloid process with the recurrent branch of radial artery displaced periosteal flap were treated either conservatively or with surgery. Results Patients were followed up for 6 to 12 months （an average of seven months）. Fracture healing time was eight weeks in eight cases, 10 weeks in four patients. Reference Krimmer wrist function score was excellent in 10 cases, good in two cases. Eleven patients had conservative treatment. In those 11 patients, eight healed after three months. Referring to the Krimmer Wrist Function Score, three recovered excellently, two recovered well and three recovered satisfactorily. There were significant differences among the two groups in recovery and functional scores （ P 〈 0.05 ）. Conclusion Early aggressive surgical treatment can significantly improve fracture healing and reduce complications.
出处
《中国医药》
2011年第6期713-714,共2页
China Medicine
关键词
舟状骨骨折
桡骨茎突瓣植入
手术治疗
保守治疗
Radial styloid process grafts
Scaphoid fracture
Surgical treatment
Conservative treatment
