平乐郭氏正骨联合双针扣压法治疗Wehbe-SchneiderⅠB、ⅡB型新鲜骨性锤状指疗效观察  

Efficacy of Pingle Guo’s bonesetting combined with two-needle compression method on fresh mallet finger of Wehbe-Schneider type IB and IIB

作　　者：魏志林 林志东 羊政忠 陈志斌 张杰[1] 李威 袁松杰 邱成新 WEI Zhilin;LIN Zhidong;YANG Zhengzhong;CHEN Zhibin;ZHANG Jie;LI Wei;YUAN Songjie;QIU Chengxin(Shenzhen Pingle Orthopaedic Hospital(Pingshan Hospital of Traditional Chinese Medicine),Shenzhen 518000,Guangdong,China)

机构地区：[1]深圳平乐骨伤科医院(坪山区中医院),广东深圳518000

出　　处：《现代中西医结合杂志》2023年第18期2525-2529,共5页Modern Journal of Integrated Traditional Chinese and Western Medicine

基　　金：广东省中医药局科研项目(20202166)。

摘　　要：目的研究平乐郭氏正骨联合双针扣压法治疗Wehbe-SchneiderⅠB、ⅡB型新鲜骨性锤状指的疗效及安全性。方法选取2020年4月—2021年11月于深圳平乐骨伤科医院(坪山区中医院)上肢科治疗的Wehbe-SchneiderⅠB、ⅡB型新鲜骨性锤状指患者56例,采用随机数字表法分为观察组和对照组。观察组28例采用平乐郭氏正骨整复联合双针扣压法治疗,对照组28例采用切开复位微型锚钉、钛针内固定治疗。比较2组手术时间、住院费用、外观满意度及并发症发生情况,术后第2天和术后3,6个月的伤指远端指间关节(DIPJ)视觉模拟评分(VAS),术后3,6个月的伤指关节恢复情况(主动欠伸角度、主动屈曲角度、活动度),术后6个月临床疗效。结果观察组的手术时间、住院费用及并发症总发生率显著低于对照组(P均<0.05),术后6个月外观满意度评分明显高于对照组(P<0.05)。观察组术后第2天VAS评分明显低于对照组(P<0.05),但2组术后3,6个月的VAS评分比较差异均无统计学意义(P均>0.05)。2组术后3,6个月的主动欠伸角度、主动屈曲角度、活动度比较差异均无统计学意义(P均>0.05)。术后6个月观察组优良率明显高于对照组(P<0.05)。结论平乐郭氏正骨联合双针扣压法治疗Wehbe-SchneiderⅠB、ⅡB型新鲜骨性锤状指疗效确切,具有简效便廉、耗时短、创伤小、并发症少,可有效恢复伤指的功能及外观等优点。Objective It is to study the efficacy and safety of Pingle Guok’s bonesetting combined with two-needle compression in the treatment of Wehbe-Schneider I.B and II.B fresh mallet fingers.Methods A total of 56 patients with Wehbe-Schneider type I.B and II.B fresh bone hammer fingers treated in the upper limb department of Shenzhen Pingle Orthopedic Hospital(Pingshan District Hospital of Traditional Chinese Medicine)from April 2020 to November 2021 were enrolled,and they were divided into observation group and control group by random number table method,with 28 cases in each group.The observation group was treated with Pingle Guo’s bonesetting combined with two-needle compression,the control group was treated with incision reduction plus micro-anchor nails and titanium needle internal fixation.The indexes of the two groups as follows were compared:surgical time,hospitalization cost,appearance satisfaction and complication occurrence,visual analog scores(VAS)of the distal interphalangeal joint(DIPJ)of the injured finger on the 2nd postoperative day and at 3 and 6 months after surgery,the joint recovery of the injured finger(active hyperextension angle,active flexion angle,and mobility),and clinical curative effect 6 months after surgery.Results The surgical time,hospitalization cost and total complication rate of the observation group were significantly lower than those of the control group(all P<0.05),and the scores of appearance satisfaction at 6 months after surgery were significantly higher than those of the control group(P<0.05).The VAS score of the observation group was significantly lower than that of the control group on the 2nd postoperative day(P<0.05),but the difference in the VAS scores between the two groups was not statistically significant at 3 and 6 months after surgery(P>0.05).The differences in the active hyperextension angle,active flexion angle,and mobility at 3 and 6 months after surgery were not statistically significant between the two groups(all P>0.05).The excellent rate in the observation

关 键 词：平乐郭氏正骨手法 双针扣压法 骨性锤状指 撕脱骨折 微创 

分 类 号：R681.7[医药卫生—骨科学]