狭窄性腱鞘炎微创治疗和传统手术治疗统计学分析.docVIP

题目：狭窄性腱鞘炎微创治疗与传统手术治疗的统计学分析 作者：陈居文，硕士研究生， 天津市第四中心医院骨二科，主要从事周围神经损伤的研究。Email： 。电话： 0。 通讯联系作者姓名及地址：陈居文，天津市第四中心医院骨二科,天津市河北区中山路1号，邮政编码：300140。Email： 狭窄性腱鞘炎微创治疗与传统手术治疗的统计学分析 陈居文 【摘要】 目的 通过统计学分析对比两种治疗狭窄性腱鞘炎的手术方法。方法 采用微创手术治疗狭窄性腱鞘炎78例，采用传统手术方法治疗狭窄性腱鞘炎84例，从临床治疗效果和发生的并发症两个方面对比两种手术方法。结果 微创手术组治疗的有效率88.46%，传统手术组治疗的有效率94.04%，经过统计学分析P0.05，尚不能认为两者有显著的差异。并发症方面比较，微创手术组并发症发生率为23.08%，传统手术组并发症发生率为10.71%，统计学分析P0.05，故可认为两者有显著的差异。结论 微创手术治疗狭窄性腱鞘炎与传统的手术治疗效果没有差别，微创手术有其独特的优点，但是手术的并发症远高于传统的手术治疗，应严格地掌握手术的适应症，建议由有经验的手外科医生操作。 【关键词】 微创手术；传统手术；狭窄性腱鞘炎 Statistics analyze treatment stenosing tenosynovitis between opening operation and micro trauma 【Abstract】 Objective Compare with opening operation and micro trauma to treatment stenosing tenosynovitis by statistics analysis. Methods To treat stenosing tenosynovitis was 78 case by micro trauma and 84 case by opening operation . the curative effect and secondary of two operation was contrasted. Result The efficiency was 88.46% in the micro trauma and 94.04% in the opening operation. The value of the P beyond 0.05 by statistics analysis. The two operation couldnt be considered remarkable difference. The secondary was 23.08% in micro trauma operation and 10.71% in the opening operation. By statistics analysis, the value of the P below 0.05. The two operations were able to consider remarkable difference. Conclusions There was not different in the micro trauma operation and opening operation, but the secondary after surgery had remarkable different. the micro trauma operation has special merit. Should be strictly mast adaptation in operation. We advice operation was operate by the hand surgery doctor or experiential doctor. 【Key words】 micro trauma operation; opening operation; stenosing tenosynovitis 狭窄性腱鞘炎是由于肌腱慢性损伤导致肌腱充血水肿伴腱鞘增厚腱鞘绝对或相对狭窄引起肌腱滑动障碍的一类疾病，好发于指和腕部。多见于30—60岁的女性，也可见于先天性的发病。发生在手指称“扳机指”或“弹响指”；在腕部多为桡骨茎突狭窄性腱鞘炎[1]。狭窄性腱鞘炎的治疗方法很多，近年来，用小针刀微创手术治疗狭窄性腱鞘炎已成为时尚，与传统的开放手术相比，微创手术治疗的效果如何？手术后的情况如何？目前尚没有人进行大规模的分析研究，我们追踪观察了162例患者，通过统计学分析，对比两种手术方法的治疗效果以及手