Real time ultrasound guided closed reduction of nasal bone fracture
10.13929/j.1003-3289.201905164
- Author:
Suhong SHEN
1
Author Information
1. Department of Functional Inspection, Luoyang Orthopedic Hospital, Orthopedic Hospital of Henan Province
- Publication Type:Journal Article
- Keywords:
Closed reduction;
Fractures, bone;
Nasal bone;
Ultrasonography
- From:
Chinese Journal of Medical Imaging Technology
2019;35(12):1866-1869
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the clinical value of real-time ultrasound-guided closed reduction of nasal bone fracture. Methods: Sixty patients with clinically confirmed nasal bone fractures were randomly divided into experimental group and control group (each n=30). Both groups were treated with closed reduction of nasal bone fracture under general anesthesia. Patients in experimental group were treated with real-time ultrasound-guided closed reduction, while those in control group were treated with closed reduction of nasal bone fracture under traditional visual and palpation. After reduction, effect of reduction was evaluated with three-point method based on nasal CT scan. The second reduction rates, hospitalization time and post-operative CT scores were compared between the two groups. Results: The second reduction rate of fracture was 0 in the experimental group, whereas 13.33% (4/30) in control group (χ2=4.286, P=0.038).The hospitalization time of experimental group was 4 days, of control group was 5 days (Z=-5.024, P<0.001). The scoring of experimental group were 3 points and 2 points respectively in 19 cases and 11 cases, while of control group were 3 points in 11 cases, 2 points in 16 cases and 1 point in 3 cases. The reduction effect of experimental group was better than that of control group (χ2=6.059, P=0.048). Conclusion: Real-time ultrasound-guided closed reduction of nasal bone fracture is accurate and reliable, which can reduce the risk of second reduction of fracture and avoid X-ray radiation, also effectively shorten the hospitalization time of patients and improve the satisfaction of both doctors and patients.
