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微型钢板内固定术与克氏针内固定术治疗指骨骨折患者的效果比较

Comparison of effects of mini-plate internal fixation and Kirschner wire internal fixation in treatment of patients with phalangeal fractures
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摘要 目的:比较微型钢板内固定术与克氏针内固定术治疗指骨骨折患者的效果。方法:回顾性分析2018年12月至2023年1月该院收治的60例指骨骨折患者的临床资料,按照手术方法不同将其分为观察组和对照组各30例。观察组采用微型钢板内固定术治疗,对照组采用克氏针内固定术治疗。比较两组围术期指标(手术时间、住院时间、术中出血量、骨折愈合时间)水平、手术优良率、术后不同时间(术后1、3、7 d)疼痛[数字分级评分法(NRS)]评分,以及并发症发生率。结果:两组术中出血量比较,差异无统计学意义(P>0.05);观察组手术时间长于对照组,住院时间、骨折愈合时间短于对照组,差异均有统计学意义(P<0.05);观察组手术优良率为83.33%(25/30),高于对照组的53.33%(16/30),差异有统计学意义(P<0.05);术后1 d,两组NRS评分比较,差异无统计学意义(P>0.05);术后3、7 d,观察组NRS评分均低于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:微型钢板内固定术治疗指骨骨折患者可缩短住院时间和骨折愈合时间,提高手术优良率,降低术后疼痛评分,效果优于克氏针内固定术治疗,但会延长手术时间。 Objective:To compare effects of mini-plate internalfixation and Kirschner wire internalfixation in treatment of patients with phalangeal fractures.Methods:The clinical data of 60 patients with phalangeal fractures admitted to the hospital from December 2018 to January 2023 were retrospectively analyzed.According to different surgical methods,they were divided into observation group and control group,30 cases in each group.The observation group was treated with mini-plate internalfixation,while the control group was treated with Kirschner wire internalfixation.The perioperative indicators(operation time,hospitalization time,intraoperative blood loss,fracture healing time)levels,the excellent and good rate of operation,the pain[numerical rating scale(NRS)]score at different time after the surgery(1,3,7 d after the surgery),and the incidence of complications were compared between the two groups.Results:There was no significant difference in the intraoperative blood loss between the two groups(P>0.05).The operation time of the observation group was longer than that of the control group,the hospitalization time and fracture healing time were shorter than those of the control group,and the differences were statistically significant(P<0.05).The excellent and good rate of operation in the observation group was 83.33%(25/30),which was higher than 53.33%(16/30)in the control group,and the difference was statistically significant(P<0.05).One day after the surgery,there was no significant difference in the NRS score between the two groups(P>0.05).Three and 7 days after the surgery,the NRS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusions:Mini-plate internalfixation in the treatment of the patients with phalangeal fractures can shorten the hospitalization time and the fracture healing time,improve the excellent and good rate of surgery,and reduce the postoperative pain scores.Moreover,it is superior to Kirschner wire internalfixation,but it will prolong the operation time.
作者 胡钢 罗炎炎 刘贺 HU Gang;LUO Yanyan;LIU He(Second Department of Surgery of Mingxi County General Hospital,Sanming 365200 Fujian,China)
出处 《中国民康医学》 2024年第22期145-147,共3页 Medical Journal of Chinese People’s Health
关键词 指骨骨折 微型钢板内固定术 克氏针内固定术 优良率 疼痛 并发症 Phalangeal fracture Mini-plate internalfixation Kirschner wire internalfixation Excellent and good rate Pain Complication
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