手术治疗创伤性腕关节不稳定的临床疗效观察

The efficacy of operative treatment on the traumatic carpal instability

目的探讨创伤性腕关节不稳手术治疗的临床疗效。方法选取我院64例创伤性腕关节患者,随机分为实验组与对照组,对照组采用传统的手法复位石膏固定进行治疗,实验组采用手术治疗,利用X线片判断两组腕关节不稳病症,据Mcbride评分系统评定腕关节功能恢复情况。结果术后腕关节不稳定发生率,实验组较对照组显著低25%(P<0.05);而腕关节功能恢复优良率,实验组较对照组显著高21.88%(P<0.01)。结论手术治疗创伤性腕关节不稳临床疗效显著。

Objective To explore the efficacy of operative treatment on the traumatic carpal instability. Methods Sixtyfour cases of traumatic carpal patients were randomly divided into the control group which were treated by the traditional manual reduction plaster and the experimental group by operative treatment in our hospital. The two group applied X-ray to determine the disease of carpal instability and the scoring system of Mcbride to assess the restoration in wrist function. Results The total effective rate of the carpal instability in the experimental group was significantly lower25% than the control group after surgery（P〈0.05）, while the total effective rate of the experimental group was higher21.88% than the control group in wrist function recovery（P〈0.01）. Conclusion The clinical effect of surgery in treatment of the traumatic carpal instability is excellent.