中国修复重建外科杂志

中国修复重建外科杂志

急性腕舟骨骨折的诊断治疗研究进展

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目的 综述急性腕舟骨骨折的诊断治疗研究进展。方法 广泛查阅近年与急性腕舟骨骨折相关的文献,并对其发病特点、骨折分型、诊断方法和治疗原则进行总结分析。结果 急性腕舟骨骨折是常见的手部骨折,分为无移位稳定性、有移位不稳定性等类型。CT 最具诊断特异性,而 MRI 敏感性最高。对于稳定或隐匿性骨折,采用石膏固定多能获得愈合;而对于不稳定性骨折,切开复位内固定的疗效确切。结论 急性腕舟骨骨折应早期诊治,并根据骨折位置及稳定程度选择适当治疗方式。

Objective To review the advances in diagnosis and treatment of acute scaphoid fractures. Methods The characteristic, classification, diagnosis, and treatment of acute scaphoid fractures were reviewed and summarized. Results As one of the common fracture in hand, scaphoid fractures are generally classified as either undisplaced and stable or displaced and unstable. CT and MRI has best diagnostic specificity and sensitivity respectively. Most undisplaced and stable fractures can be treated successfully by plaster immobilization, whereas the displaced and unstable fractures have great prognosis after open reduction and internal fixation. Conclusion Acute scaphoid fractures should be diagnosed and treated at an early stage, and choose the appropriate treatment according to the location and stability of the fracture.

关键词: 急性腕舟骨骨折; 影像诊断; 治疗进展

Key words: Acute scaphoid fracture; imaging diagnosis; treatment advance

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