微型钢板螺钉治疗手部骨折100例的疗效观察

Observation of clinical effect of minitype plate and screw in the treatment of 100 cases with hand fracture

目的观察微型钢板螺钉治疗手部骨折的临床效果。方法选取在我院救治的手掌、手指粉碎性骨折患者200例为研究对象,利用随机数字表法将患者分为观察组和对照组,每组100例。观察组运用国产微型钢板螺钉固定骨折;对照组利用克氏针及石膏固定手部骨折。对比两组患者的临床疗效。结果观察组患者在15周内痊愈79例(79.0%),明显高于对照组的32例(32.0%),两组比较,差异有统计学意义(P<0.05)。观察组手部屈伸功能明显优于对照组,两组比较,差异有统计学意义(P<0.05)。两组均随访1年,对照组出现手部旋转畸形14例,而观察组未出现畸形愈合的状况。结论采用微型钢板螺钉的治疗方法,能够达到良好的治疗效果,能有效促进手功能的康复。

Objective To observe the clinical effect of minitype plate and screw in the treatment of hand fracture. Methods 200 cases with palm or finger comminuted fracture were choose and divided into observation group and control group according to the random number table, 100 cases in each group. The fracture of observation group was fixed with minitype plate and screw, when the fracture of observation group was fixed with needle and plaster. The clinical effect was compared after treatment. Results In the observation group, 79 cases （79%） were cured in 15 weeks, significantly higher than those in the control group （32 cases , 32% ）, the difference was statistically significant （ P 〈 0.05 ）. In the observation group, the function of hand flexion and extension was significantly better than the control group, the difference was statistically significant（P 〈 0.05）. The two groups were followed up for 1 years, 14 cases in the control group showed that the hand rotation was deformed, while the observation group did not appear to have the condition of the healing. Conclusion Treatment with minitype plate and screw, can achieve good treatment effect, and used to promote rival function recovery effectively.