摘要
目的对172例闭合性锤状指的临床资料进行归纳整理，并运用统计学的方法分析比较三种治疗支具的成功率、并发症率及影响愈合的因素，提出改进方法，提高保守治疗的成功率。方法2007年11月至2008年5月，我们从门急诊收集了172例闭合性锤状指使用支具制动的病例，统计分析其发病情况、受累指的分布、三种治疗支具的成功率及影响因素等。结果本组共172例，男123例，女49例，随访时间为拆除支具3个月以上，三种支具之间的成功率和并发症率差异均无统计学意义，并发症主要与局部症状相关，影响愈合的主要因素是发病至制动的间隔时间。结论三种治疗支具成功率相当，因此近指间关节（PIP）不必制动，只制动远指间关节（DIP）时患者耐受性好；影响愈合率的最大因素是患者出现锤状指至佩戴上支具的间隔时间，而出现并发症的危险因素是局部症状。
Objective To summarize and analyze the clinical data of 172 cases of closed mallet finger, statistically compare the success rate, complication rate and prognostic factors among three types of splints, and make recommendations to improve success rate of conservative treatment. Methods A retrospective review was performed of the clinical documents of 172 cases of close mallet finger which were treated in our department from November 2007 to May 2008. The incidence, distribution and characteristics of involved digits, benefits and defaults of three splint models and factors influencing the outcomes were analyzed. Results Of the 172 cases, 123 were males and 49 females. Follow-up lasted till 3 months after splint removal. There were no statistically significant differences in the success rate and complication rate among three splint models. The complications were related to the local symptoms. The main factor which impacted the results was the interval between the injury onset and the application of the splint. Conclusion The three splint models lead to comparable success rate in treating closed mallet fingers. Therefore the PIP joint needs not be immobilized while the DIP joint is kept at hyperextension position. This is better tolerated by patients. The key prognostic factor is the delay between the occurrence of mallet deformity and the use of the splint. Risk factors for complications are local symptoms at the DIP joint.
出处
《中华手外科杂志》
CSCD
北大核心
2014年第2期94-97,共4页
Chinese Journal of Hand Surgery
关键词
统计学
指损伤
锤状指
保守治疗
影响因素
Statistics
Finger injuries
Mallet finger
Conservative treatment
Influencingfactors
