两种固定方式治疗腕舟状骨骨折的疗效比较  

Comparison of clinical efficacy of two fixation methods in the treatment of wrist scaphoid fractures

作　　者：李冰[1] 徐鹏[1] 张兴州[1] 袁亚兵[1] 钱志鹏 吴俊琪 LI Bing;XU Peng;ZHANG Xing-zhou;YUAN Ya-bing;QIAN Zhi-peng;WU Jun-qi(SectionⅠ,Dept of Orthopaedics and Traumatology,Wujin TCM Hospital Affiliated to Nanjing University of Chinese Medicine,Changzhou,Jiangsu 213161,China)

机构地区：[1]南京中医药大学附属武进中医医院骨伤一科,江苏常州213161

出　　处：《临床骨科杂志》2025年第1期85-89,共5页Journal of Clinical Orthopaedics

摘　　要：目的比较2枚双头加压螺钉交叉固定与单枚双头加压螺钉固定治疗腕舟状骨骨折的疗效。方法将30例新鲜腕舟状骨骨折患者根据治疗方式不同分为观察组(采用2枚双头加压螺钉交叉固定治疗,14例)和对照组(采用单枚双头加压螺钉固定治疗,16例)。比较两组手术情况、骨折愈合时间、疼痛VAS评分、腕关节活动度,采用腕关节功能Mayo评分评价疗效。结果患者均获得随访,时间12~14个月。手术时间、术中出血量两组比较差异均无统计学意义(P>0.05)。骨折愈合时间观察组短于对照组(P<0.05)。术后3、12个月疼痛VAS评分和Mayo评分两组比较差异均无统计学意义(P>0.05)。术后12个月腕关节活动度两组比较差异均无统计学意义(P>0.05)。结论2枚双头加压螺钉交叉固定与单枚双头加压螺钉固定治疗腕舟状骨骨折均能稳定固定骨折,获得良好疗效;2枚双头加压螺钉交叉固定骨折稳定性更高,骨折愈合时间更短。Objective To compare the efficacy of cross fixation with two Herbert screws and single Herbert screw in the treatment of wrist scaphoid fracture.Methods The 30 patients with wrist fresh scaphoid fractures were divided into observation group(14 cases were treated with two Herbert screws cross fixation)and control group(16 cases were treated with single Herbert screw fixation),according to different treatment methods.The surgical status,fracture healing time,pain VAS and wrist joint activity range of the two groups were compared,and the therapeutic effect was evaluated by Mayo score of the wrist joint function.Results All patients were followed up for 12~14 months.There were no statistical differences in operation time and intraoperative blood loss between the two groups(P>0.05).Fracture healing time in observation group was shorter than that in control group(P<0.05).At 3 and 12 months after surgery,there were no statistical differences in pain VAS and Mayo score between the two groups(P>0.05).At 12 months after surgery,there was no statistical difference in wrist activity range between two groups(P>0.05).Conclusions Both cross fixation with two Herbert screws and single Herbert screw can stabilize and fix the scaphoid fracture of the wrist,and obtain good curative effect.Cross fixation with two Herbert screws has higher stability and shorter healing time.

关 键 词：舟状骨骨折 加压螺钉 固定方式 

分 类 号：R683.41[医药卫生—骨科学] R687.32[医药卫生—外科学]