fixationinthetreatmentoffifthmetacarpalfractures·226··临床论著·文章编号：1671-2722(2023)02-0226-04比较克氏针内固定与钢板内固定治疗第5掌骨骨折的疗效田朝奇1，宋志勇1，王萌光²，马国涛1，吴登科1，周志广1（1.平顶山市第一人民医院骨科一病区，河南平顶山467000；2.放射科）摘要：目的探讨克氏针内固定与钢板内固定治疗第5掌骨骨折的疗效。方法回顾性分析2018年8月一2021年8月收治的第5掌骨骨折患者82例，随机分为克氏针组（41例，克氏针内固定）钢板组（41例，钢板内固定）。术后评估患手功能恢复情况，记录围术期指标，测量手术应激指标，统计术后并发症。结果克氏针组手部功能恢复优良率高于钢板组（P<0.05)；克氏针组术中失血量、手术时长、住院时间均低于钢板组(P<0.05);术后1d克氏针组血清去甲肾上腺素(NE)、皮质醇(Cor)水平显著低于钢板组(P<0.05)；克氏针组并发症发生率显著低于钢板组(P<0.05)。结论第5掌骨骨折治疗中克氏针内固定较钢板内固定创伤性更小，患者应激反应更轻，术后并发症更少，康复更快。关键词：克氏针内固定；钢板内固定；第5掌骨骨折doi:10.3969/j.issn.1671-2722.2023.02.021ComparisonofthecurativeeffectofKirschnerwireinternalfixationandplateinternal(DepartmentofOrthopedic,PingdingshanFirstPeople'sHospital,Pingdingshan,Henan,467000,China)Abstract:ObjectiveToexplorethedifferenceinefficacybetweenKirschnerwireinternalfixationandplateinternalfixationinthetreatmentoffifthmetacarpalfractures.MethodsAtotalof82patientswithfracturesofthefifthmetacarpalbonetreatedinourhospitalfromAugust2018toAugust2021wereincludedandrandomlydividedintoaKirschnerwiregroup(41cases,internalfixationwithKirschnerwire)andasteelplategroup(41cases,internalfixationwithasteelplate).Fixation),evaluatethepatient'shandfunctionrecovery,recordperioperativeindicators,measuresurgicalstressindicators,andcountpostoperativecomplications.ResultsTheexcellentandgoodrateofhandfunctionrecoveryintheKirschnerwiregroupwashigherthanthatinthesteelplategroup(P<0.05).Serumlevelsofnorepinephrine(NE)andcortisol(Cor)intheKirschnerwiregroupweresignificantlylowerthanthoseinthesteelplategroup(P<0.05);theincidenceofcomplicationsintheKirschnerwiregroupwassignificantlylow...
