创伤性腕关节不稳定应用手术治疗的疗效分析  

Surgical treatment for traumatic instability of wrist joint

作　　者：纪建国[1] 王旭廷[1] 董洪光[1] 

机构地区：[1]烟台市莱阳中心医院骨科,265200

出　　处：《国际医药卫生导报》2016年第8期1072-1075,共4页International Medicine and Health Guidance News

摘　　要：目的探讨应用手术治疗对创伤性腕关节不稳定患者的疗效。方法收集本院2013年1月至2014年11月人院的80例创伤性腕关节不稳定患者随机分为两组。对照组患者给予手法复位石膏固定治疗，实验组患者则给予手术治疗，比较两组患者治疗前后Jiranek与Garland—Werley评分、整体治疗效果与腕关节稳定情况。结果实验组治疗后患者Jiranek评分（169．24±25．28）分，显著高于对照组的（136．04±18．25）分，Garland—Werley评分为（3．76±2．03）分，显著低于对照组的（10．36±3．95）分，差异有统计学意义（t=6．734，9．399，P〈0．01）；实验组患者整体治疗效果显著优于对照组，差异具有统计学意义（Z=-2．979，P〈0．01）；实验组患者出院后6个月（95．00％）与12个月腕关节稳定率（80．00％）显著高于对照组（65．00％，30．00％），差异具有统计学意义（x2=11．250，2．202，P〈0．01）。结论应用手术治疗对创伤性腕关节不稳定患者的疗效显著，具有借鉴性。Objective To investigate the clinical effect of surgical treatment for patients with traumatic instability of wrist joint. Methods 80 patients with traumatic instability of wrist joint admitted into our hospital from January, 2013 to November, 2014 were randomly divided into a control group and an experimental group. The control group were treated with manipulative reduction and plaster fixation and the experimental group with surgery. The scores of Jiranek and Gartland-Werley before and after the treatment, the overall therapeutic effect, and the stability of wrist joint were compared between these two groupS. Results The Jiranek score were significantly higher and Gartland-Werley score was obviously lower in the experimental group than in the control group [（169.24 ± 25.28） vs. 036.04 ± 18.25） and （3.76 ±2.03） vs. （10.36 ± 3.95）], with statistical differences （t=6.734, 9.399, P〈0.01）. The overall treatment effect was much better in the experimental group than in the control group, with a statistical difference （Z = -2.979, P〈0.01）. 6 and 12 months after discharging, the stability rates of wrist joint were 95% and 80% in the experimental group and were 65% and 30% in the control group, with statistical differences （X 2= 11.250, 2.202, P〈0.01）. Conclusions Surgical treatment for patients with traumatic instability of wrist joint has a significant effect and is of reference.

关 键 词：创伤性腕关节不稳定 手术治疗 腕关节功能 稳定性 治疗效果 

分 类 号：R684.7[医药卫生—骨科学]