微型骨锚钉与钢丝抽出止点法治疗指伸肌腱止点损伤的疗效比较

Comparison of clinical effects between mini bone anchor and wire extraction insertion in the treatment of extensor tendon insertion injury

目的探究微型骨锚钉与钢丝抽出止点法治疗指伸肌腱止点损伤的疗效比较。方法选取2019年1月-2020年6月收治的47例指伸肌腱止点损伤患者为研究对象,依据随机数字表法将其分为对照组23例和观察组24例。对照组采用钢丝抽出止点法,观察组采用微型骨锚钉重建法,比较两组的治疗效果。结果治疗后,观察组的功能恢复优良率为79.17%,远大于对照组的52.17%,即观察组的临床疗效明显优于对照组,差异有统计学意义(χ^(2)=4.074,P<0.05);治疗前,两组的VAS评分差异无统计学意义(t=1.628,P>0.05),治疗后,两组的VAS评分均较治疗前降低,且观察组明显低于对照组,差异均有统计学意义(t=3.974,P<0.05);治疗后,观察组的总并发症发生率为4.17%,明显低于对照组的30.43%,差异有统计学意义(χ^(2)=5.738,P<0.05);与对照组相比,观察组的平均手术时间更短,差异有统计学意义(t=28.764,P<0.05),观察组平均住院时间更短,差异有统计学意义(t=2.983,P<0.05)。结论与钢丝抽出法相比,微型骨锚钉重建指伸肌腱止点法疗效可靠,可明显改善患者的治疗效果,减轻患者术后疼痛,术后并发症发生率低,同时缩短了手术时间和住院时间,值得临床推广。

Objective To explore the difference of therapeutic effect between mini bone anchor and steel wire extraction insertion in the treatment of extensor tendon insertion injury.Methods Forty-seven cases with extensor tendon insertion injury in our hospital from January 2019 to June 2020 were selected as the research objects,and they were divided into control group 23 cases and observation group 24 cases according to the random number table method.Patients in the control group were treated by wire extraction insertion method,while patients in the observation group were treated by mini bone anchor reconstruction method.Results After treatment,the ideal recovery rate of the observation group was 79.17%,much higher than 52.17%of the control group.The clinical efficacy of the observation group was significantly better than that of the control group.The difference was statistically significant(χ^(2)=4.074,P<0.05);Before treatment,there was no significant difference in VAS scores between the two groups(t=1.628,P>0.05).After treatment,the VAS scores of the two groups were lower than those before treatment,and the observation was lower than that of the conrtol group,the difference was statistically significant(t=3.974,P<0.05);after treatment,the total complication rate of the observation group was 4.17%,significantly lower than 30.43%of the control group.The difference was statistically significant(χ^(2)=5.738,P<0.05);compared with the control group,the average operation time of the observation group was shorter.the difference was statistically significant(t=28.764,P<0.05).The average hospital stay was shorter in observation group (t = 2.983, P < 0.05). Conclusion Compared with the steel wire extraction method, the mini bone anchor reconstruction of extensor tendon insertion has reliable curative effect, can significantly improve the treatment effect of patients, reduce postoperative pain, reduce the incidence of postoperative complications, and shorten the operation time and hospital stay, which is worthy of clinical promotion.