可吸收钉联合可吸收缝线在尺骨鹰骨折术中应用
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南阳市中心医院

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Application of absorbable nail combined with absorbable suture in the operation of ulnar eagle fracture
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Nanyang Central Hospital

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    摘要:

    摘要:[目的] 在尺骨鹰骨折患者中分析可吸收钉联合可吸收线术中应用的安全性与有效性。[方法] 回顾性分析2015年2月~2019年3月我院收治的尺骨鹰骨折患者106例,研究组患者接受可吸收钉联合可吸收缝线治疗(56例),对照组患者接受克氏针张力带治疗(50例)。观察指标包括围手术期情况、随访期指标及影像学评估。[结果] 研究组患者的手术时间、术中出血量及住院时间等均明显低于对照组(P<0.05);研究组患者的并发症发生率明显低于对照组(P<0.05)。研究组患者的关节疼痛及功能评分均明显优于对照组;研究组患者的骨折愈合时间明显低于对照组,且末次随访时研究组患者的Murphy标准运动范围评分、影像学评分均明显优于对照组(P<0.05)。[结论]在尺骨鹰骨折的患者中采用可吸收钉联合可吸收缝线手术复位内固定治疗具有简便、安全、高效的应用优势,可有效改善围手术期、随访和影像学相关指标,并尽可能规避手术并发症对康复的影响。

    Abstract:

    Abstract: [Objective] To analyze the safety and effectiveness of absorbable nail combined with absorbable thread in patients with ulnar Eagle fracture. [Methods] 106 patients with ulnar Eagle fracture treated in our hospital from February 2015 to March 2019 were retrospectively analyzed. The patients in the study group were treated with absorbable nail combined with absorbable suture (56 cases), while the patients in the control group were treated with Kirschner wire tension band (50 cases).Observation indicators included perioperative conditions, follow-up indicators and imaging evaluation.[Results] The operation time, intraoperative bleeding volume and hospital stay of the study group were significantly lower than those of the control group (P < 0.05); the complication rate of the study group was significantly lower than that of the control group (P < 0.05).The joint pain and function scores of the study group were significantly better than those of the control group; the fracture healing time of the study group was significantly lower than that of the control group, and the Murphy standard range of motion score and imaging score of the study group were significantly better than those of the control group at the last follow-up (P < 0.05).[Conclusion] The use of absorbable nail combined with absorbable suture for surgical reduction and internal fixation of ulnar Eagle fracture has the advantages of simple, safe and efficient application, which can effectively improve the perioperative, follow-up and imaging related indicators, and avoid the impact of surgical complications on rehabilitation as much as possible.

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  • 收稿日期:2020-11-21
  • 最后修改日期:2020-12-29
  • 录用日期:2021-01-11
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