经皮双头加压螺钉固定结合中药熏蒸治疗腕舟状骨骨折疗效分析

目的分析经皮双头加压螺钉固定联合中药熏蒸治疗腕部舟状骨骨折患者的临床效果。方法选取2010年8月～2011年11月东莞市黄江医院60例腕舟状骨骨折患者，随机分成2组，对照组（n=30）以石膏固定治疗，试验组（n=30）经皮双头加压螺钉固定联合中药熏蒸。对2组患者的疗效进行对比分析。结果1年后随访发现，对照组患者的显效率为70％；试验组患者的显效率为933％，2组患者显效率的差异有统计学意义（P〈0．05）。结论与石膏固定治疗相比，经皮双头加压螺钉固定联合中药熏蒸应用于腕部舟状骨骨折患者的疗效更佳，且具有便捷性、微创性等优点，在临床治疗中应普及应用。

Objective To analyze the effect that percutaneous double-head compression screw fixation combined with herbal fumigation in the treatment of fractures of scaphoid. Methods 60 cases of scaphoid fracture patients from August 2010 to November 2011 were randomly divided into two groups. The control group （n=30） was given plaster fixation. The test group （n=30） was received percutaneous double-head compression screw fixation combined with herbal fumigation. The efficacy of the two groups was compared. Results After 1 year follow-up, the effect rate in the control group was 70% while in the test group was 93.3%. There was statistically significant difference between the two groups （P〈0.05）. Conclusion Compared with plaster fixation, percutaneous double-head compression screw fixation combined with herbal fumigation applied in treatment of scaphoid has a convenience, minimally invasive advantages, in the clinical treatment should be generalizable.