不同方法治疗新鲜闭合性锤状指52例临床分析  

Clinical analysis of the diverse treatments for 52 cases offreshly closed mallet finger

作　　者：张志强[1] 

机构地区：[1]广东肇庆学院医院骨伤科,广东肇庆526061

出　　处：《海南医学》2012年第12期63-64,共2页Hainan Medical Journal

摘　　要：目的观察三种不同方法治疗新鲜闭合性锤状指的临床疗效。方法回顾分析2003年3月至2011年8月分别采用"T"型金属指板外固定、经皮注射器针头内固定、联合内外固定的方法治疗52例新鲜闭合性锤状指患者的临床资料。结果联合内外固定法优良率达90.0%,与单纯外固定或内固定组比较差异有统计学意义(P<0.05),提示疗效优于单纯外固定或内固定组;单纯外固定组与内固定组比较差异无统计学意义(P>0.05),提示单纯外固定组和内固定组疗效相当。结论经皮注射器针头内固定结合"T"型金属指板外固定法疗效确切,值得临床推广应用。Objective To observe the therapeutic effect of three different methods for freshly closed mallet finger. Methods Based on the data from March 2003 to August 2011, a retrospective analysis of three different treat- ments to 52 eases of freshly closed mallet finger was conducted. The methods were as following： external fixation with ＂T＂type metallic splint, internal fixation with syringe needle per cutem, combination of the internal and external fixation. Results The excellent and good rate of combination method was 90.0%, which was significantly different, compared to that of either single method （P〈0.05）, indicating better effect. Conclusion The combination of internal fixation by syringe needle per cutem and external fixation with ＂T＂ type metallic splint has affirmative effect in the treatment of freshly closed mallet finger.

关 键 词：锤状指 注射器针头 “T”型金属指板 固定 

分 类 号：R682[医药卫生—骨科学]