切开复位治疗舟骨骨折伴月骨脱位的效果分析(1)
[摘要] 目的 对舟骨骨折伴月骨脱位进行切开复位治疗，并观察其疗效。方法 选择我院2014年6月～2016年3月收治的50例舟骨骨折伴月骨脱位患者作为研究对象，按照患者的入院顺序将其分为对照组和实验组，每组25例，所有舟骨骨折均非病理性骨折。对照组患者采用闭合复位法对其进行治疗，实验组采用切开复位配合内固定方式进行治疗，观察两组患者的恢复情况，比较其疗效。结果 对患者的恢复情况采用Cooney评分标准进行评分，实验组疗效优良率为88.00%，对照组为76.00%，实验组明显高于对照组(P<0.05)。实验组的并发症发生率为0，明显低于对照组的20.00%(P<0.05)。 结论 切开复位手术能够对舟骨骨折伴月骨脱位起到较好的疗效，加入内固定可牢固固定骨折，减少缺血性坏死，促进骨折愈合。
[关键词] 切开复位治疗；舟骨骨折；月骨脱位；内固定
[中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701(2017)07-0056-03
[Abstract] Objective To perform open reduction therapy on the scaphoid fracture with lunate dislocation，and to observe the efficacy.Methods 50 patients with scaphoid fracture and lunate dislocation from June 2014 to March 2016 in our hospital were selected. The patients were divided into control group and experimental group according to the order of admission，with 25 cases in each group.The scaphoid fractures of all the patients were not pathological fracture. The patients in the control group were treated with closed reduction method. The experimental group was treated with open reduction and internal fixation. The recovery of the two groups was observed and the curative effect between the two groups was compared. Results The Cooney score was used to evaluate the recovery condition of the patients. The excellent rate of the experimental group was 88.00% ，significantly higher than that of the control group(76.00%)，and the difference between the two groups was significant(P<0.05). The incidence of complications in the experimental group was 0， which was significantly lower than that in the control group (20.00%)，and there was a significant difference between two groups(P<0.05). Conclusion Open reduction surgery can make a good curative effect on scaphoid fracture combined with lunate dislocation. Adding internal fixation can fix fracture firmly and reduce ischemic necrosis， thus promoting fracture healing.
[Key words] Open reduction treatment； Scaphoid fracture；Lunate dislocation； Internal fixation
舟骨骨折是一種临床常见的腕部骨折，并可合并月骨脱位，骨折位置往往多发于舟状骨腰部[1]。舟骨血运由从远及近进入桡动脉掌侧支及腕背支支配，腰部骨折后可导致近侧骨部分血供中断，不仅影响骨折愈合，而且导致骨折段近侧发生缺血现象，可能造成缺血坏死[2]。
舟骨骨折伴月骨脱位和周围骨脱位是一种较为严重的腕部损伤[3]，目前常见的治疗方法为切开复位内固定治疗法和闭合复位法[4]。本研究采用这两种治疗方案对本院收治的50例舟骨骨折伴月骨脱位患者进行治疗，现报道如下。
1 资料与方法
1.1 一般资料
选择我院2014年6月～2016年3月收治的50例舟骨骨折伴月骨脱位患者作为研究对象，按照患者的入院顺序将其分为对照组和实验组，每组25例，所有舟骨骨折均非病理性骨折。对照组男16例，女9例，年龄19～39岁，平均(26.4±6.3)岁，病程30 min～8 d，平均1.6d；实验组男14例，女11例，年龄21～38岁，平均(27.8±4.2)岁，病程1h～3.4d，平均病程2.1d。所有患者均为由摔跌导致的闭合性骨折错位，部分伴有不同程度的正中神经损伤，左侧23例，右侧27例。所有患者均经临床、X线片与CT等检查确诊为舟骨骨折伴月骨脱位[5]，并自愿参与此研究，签署相关知情同意书，获得我院伦理委员会的批准，且无病历资料不全、中途因各种原因退出试验的病例[1]。两组患者的一般资料无明显差异(P>0.05)。, 百拇医药(周旭军)
[关键词] 切开复位治疗；舟骨骨折；月骨脱位；内固定
[中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701(2017)07-0056-03
[Abstract] Objective To perform open reduction therapy on the scaphoid fracture with lunate dislocation，and to observe the efficacy.Methods 50 patients with scaphoid fracture and lunate dislocation from June 2014 to March 2016 in our hospital were selected. The patients were divided into control group and experimental group according to the order of admission，with 25 cases in each group.The scaphoid fractures of all the patients were not pathological fracture. The patients in the control group were treated with closed reduction method. The experimental group was treated with open reduction and internal fixation. The recovery of the two groups was observed and the curative effect between the two groups was compared. Results The Cooney score was used to evaluate the recovery condition of the patients. The excellent rate of the experimental group was 88.00% ，significantly higher than that of the control group(76.00%)，and the difference between the two groups was significant(P<0.05). The incidence of complications in the experimental group was 0， which was significantly lower than that in the control group (20.00%)，and there was a significant difference between two groups(P<0.05). Conclusion Open reduction surgery can make a good curative effect on scaphoid fracture combined with lunate dislocation. Adding internal fixation can fix fracture firmly and reduce ischemic necrosis， thus promoting fracture healing.
[Key words] Open reduction treatment； Scaphoid fracture；Lunate dislocation； Internal fixation
舟骨骨折是一種临床常见的腕部骨折，并可合并月骨脱位，骨折位置往往多发于舟状骨腰部[1]。舟骨血运由从远及近进入桡动脉掌侧支及腕背支支配，腰部骨折后可导致近侧骨部分血供中断，不仅影响骨折愈合，而且导致骨折段近侧发生缺血现象，可能造成缺血坏死[2]。
舟骨骨折伴月骨脱位和周围骨脱位是一种较为严重的腕部损伤[3]，目前常见的治疗方法为切开复位内固定治疗法和闭合复位法[4]。本研究采用这两种治疗方案对本院收治的50例舟骨骨折伴月骨脱位患者进行治疗，现报道如下。
1 资料与方法
1.1 一般资料
选择我院2014年6月～2016年3月收治的50例舟骨骨折伴月骨脱位患者作为研究对象，按照患者的入院顺序将其分为对照组和实验组，每组25例，所有舟骨骨折均非病理性骨折。对照组男16例，女9例，年龄19～39岁，平均(26.4±6.3)岁，病程30 min～8 d，平均1.6d；实验组男14例，女11例，年龄21～38岁，平均(27.8±4.2)岁，病程1h～3.4d，平均病程2.1d。所有患者均为由摔跌导致的闭合性骨折错位，部分伴有不同程度的正中神经损伤，左侧23例，右侧27例。所有患者均经临床、X线片与CT等检查确诊为舟骨骨折伴月骨脱位[5]，并自愿参与此研究，签署相关知情同意书，获得我院伦理委员会的批准，且无病历资料不全、中途因各种原因退出试验的病例[1]。两组患者的一般资料无明显差异(P>0.05)。, 百拇医药(周旭军)