微型铆钉联合克氏针治疗锤状指的安全性及有效性  

Safety and efficacy of mini rivet combined with Kirschner wire in the treatment of mallet finger

作　　者：徐勇[1] 蔡伟[1] 于一帆[1] 左文山[1] XU Yong;CAI Wei;YU Yifan;ZUO Wenshan(Department of Orthopedics,Huai’an First Hospital Affiliated to Nanjing Medical University,Jiangsu Province,Huai’an223300,China)

机构地区：[1]南京医科大学附属淮安第一医院骨科,江苏淮安223300

出　　处：《中国医药导报》2021年第12期103-106,共4页China Medical Herald

基　　金：江苏省“333工程”科研项目(BRA2018117)。

摘　　要：目的研究微型铆钉联合克氏针治疗锤状指的安全性及有效性。方法选取2016年7月—2018年7月于南京医科大学附属淮安第一医院治疗锤状指的患者120例,采用随机数字表法将其分为观察组和对照组,每组60例。对照组采取克氏针手术治疗,观察组在对照组的基础上加用微型铆钉。比较两组临床疗效及并发症发生情况。比较两组术后6、12个月的指关节恢复情况(欠伸角度、主动屈曲角度、活动度)、视觉模拟评分(VAS)。比较两组术前及术后12个月的手指指腹动脉收缩期峰值速度(PSV)、舒张期峰值速度(EDV)、血管阻力指数(RI)。结果观察组临床优良率显著高于对照组,差异有统计学意义(P<0.05)。观察组术后6、12个月的主动屈曲角度、活动度均高于对照组,欠伸角度低于对照组,差异均有统计学意义(均P<0.05)。两组术后6、12个月的VAS比较,差异均无统计学意义(均P>0.05)。术后12个月,观察组PSV、EDV均高于术前,RI低于术前,对照组EDV高于术前,RI低于术前,且观察组PSV、EDV均高于对照组,RI低于对照组,差异均有统计学意义(均P<0.05)。对照组术前与术后12个月PSV比较,差异无统计学意义(P>0.05)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论微型铆钉联合克氏针治疗锤状指效果更好,且安全性良好。Objective To study the safety and efficacy of mini rivet combined with Kirschner wire in the treatment of mallet finger.Methods A total of 120 patients with mallet finger admitted to Huai’an First Hospital Affiliated to Nanjing Medical University from July 2016 to July 2018 were selected,they were divided into observation group and control group by random number table method,with 60 cases in each group.The control group was treated with Kirschner wire operation,and the observation group was treated with mini rivet on the basis of the control group.The clinical efficacy and incidence of complications were compared between the two groups.Finger joint recovery(extension angle,active flexion angle,range of motion)and visual analogue scale(VAS)were compared between the two groups at six months and 12 months after operation.The peak systolic velocity(PSV),diastolic peak velocity(EDV)and resistance index(RI)of digital ventral artery were compared between the two groups before and 12 months after operation.Results The clinical excellent and good rate in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).At 6,12 months after operation,the active flexion angle and range of motion in the observation group were higher than those in the control group,while the extension angle was lower than that in the control group,with statistical significance(all P<0.05).Twelve months after operation,PSV and EDV in the observation group were higher than before operation,RI was lower than before operation,EDV in the control group was higher than before operation,RI in the control group was lower than lower than before operation,and PSV and EDV in the observation group were higher than those in the control group,RI was lower than that in the control group,the differences were statistically significant(all P<0.05).There was no significant difference in PSV between before and 12 months after operation in the control group(P>0.05).There was no significant diff

关 键 词：微型铆钉 克氏针 锤状指 血液微循环 手指功能 

分 类 号：R682.5[医药卫生—骨科学]