髓内拨骨法对尺桡骨斜形骨折复位固定疗效观察  

CLINICAL OBSERVATION ON CURATIVE EFFECT OF TEASING BONE IN MARROW TO REDUCE AND FIX OBLIQUE FRACTURE OF ULNA AND RADIUS

作　　者：王俊颀[1] 吕振超[1] 夏凯[1] 

机构地区：[1]河南省洛阳正骨医院河南省正骨研究院,471002

出　　处：《中医正骨》2008年第7期11-12,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的：观察髓内拨骨法对尺骨斜形骨折复位和固定的效果。方法：按照1：1比例随机将167例（230处骨折）新鲜尺桡骨斜形闭合骨折患者分成两组。观察组84例（121处骨折）用经皮“L”形髓内针复位及固定，对照组83例（109处骨折）用手法复位克氏针经皮固定，观察两组复住成功率、复位成功病例对位情况、复位成功病例术后1周复位丢失情况、临床愈合情况。结果：观察组复位成功率99．2％，对照组73．2％，两组比较差异有统计学意义（P〈0．01）；观察组复住成功120处中，解剖对住95处，移位0．5～2mm者21处，移位2．1～3mm者4处，对照组复位成功80处中，解剖复住17处，移位0．5～2mm者45处，移位2．1～3Im者11处，移位3．1～5mm者7处，两组比较差异有统计学意义（P〈0．05）；骨折复住成功病例术后1周复位丢失情况，观察组丢失1％～10％者109处，丢失11％～20％者9处，丢失21％～30％者2处，对照组丢失1％～10％者28处，11％～20％者35处，21％～30％者14处，31％～40％者3处，两组比较差异有统计学意义（P〈0，05）；临床愈合情况，观察组95％，对照组91，3％，两组比较差异有统计学意义（P〈0．05）。结论：髓内拨骨法对尺桡骨斜形骨折既有复住作用，又有固定作用。它能提高闭合复位经皮固定的成功率，减少骨折复位的丢失率，降低医务人员的劳动强度，节省劳动时间，减少放射线对医患双方的危害。Objective:To observe the curative effect of teasing bone in marrow to reduce and fix oblique fracture of ulna and radius. Methods: According to the ratio of 1 to 1, 167 cases of patients with fresh closed oblique fracture of ulna and radius (fracture: 230 pieces) were randomly divided into two groups, group A (observe group, 84 cases, 121 pieces of fracture, reduced and fixed with per cutem 'L' bone nail) and group B (control group, 83 cases, 109 pieces, manipulative reduction and intradermic fixation of fracture with Kirschner wire) . Some items were observed, including achievement ratio of positioning, paratope information of reducing successfully, lost information one week post-operation of reducing successfully and information of clinical heal in two groups. Result: Achievement ratio of two groups were respectively 99. 2% and 73.2%, there had statistical significance on discrepancy (P<0.01) . On reducing successfully, the number of group A was 120, paratope anatomically was 95 pieces, bit shifting range from 0.5 mm to 2 mm was 21 pieces, from 2.1 mm to 3 mm was 4 pieces. In group B, the numbers above were 80, 17, 45 and 11, besides bit shifting range from 3.1 mm to 5 mm was 7 pieces, and there had statistical significance on discrepancy of two groups (P<0.05). On lost information of reducing successfully one week later, amplitude from 1% to 10% was 109 pieces, from 11% to 20% was 9 pieces, from 21% to 30% was 2 pieces, in group B, the number above were 28, 35, 14, and amplitude from 31% to 40% was 3 pieces. There had statistical significance on discrepancy of two groups (P<0.05).On information of clinical heal, the number of two groups were respectively 95% and 91.3%, and there had statistical significance on discrepancy of two groups (P<0.05) . Conclusion: The method above had actions of positioning and fixation on oblique fracture of ulna and radius. It could elevate achievement ratio closed reduction with intradermic fixation of fracture, decrease lost ratio of positioning, degrade labour intensity of medi

关 键 词：尺桡骨骨折 中医正骨术 骨折固定术 临床研究 

分 类 号：R687.3[医药卫生—骨科学]