目的　探讨切开复位加压空心螺钉和克氏针内固定治疗经舟骨月骨周围骨折-脱位的临床效果。  方法　对25例患者采用切开复位、克氏针固定腕骨关节，舟骨骨折复位加压空心螺钉内固定，同时修复关节囊和韧带，术后进行康复治疗。  结果　术后随访7～24个月，平均15个月,根据Cooney腕关节评分标准， 本组优8例、良10例、可5例，差2例，平均评分值82分。X线片检查舟状骨骨折一期愈合，腕关节达解剖复位，腕骨间隙正常。  结论　应用切开复位加压空心螺钉和克氏针内固定，修复关节囊和重要韧带， 有利于腕关节功能的恢复，是治疗经舟骨月骨周围骨折-脱位的较好方法。

Objective　To investigate the clinical  effects  of  open  reduction, internal  fixation with pressure hollow screw  and  Kirschner  wire  on trans-scaphoid perilunate fracture-dislocation.　Methods　25 cases of trans-scaphoid  perilunate  fracture- dislocation were treated with  open  reduction, compression hollow screw  fixation of  the  scaphoid,  Kirschner  wire  fixation  of  intercarpal  joints, followed by the repair  of  the  joint capsule  and  special ligaments. The postoperative rehabilitation was performed.　Results　All  cases were followed  up about 7～24 months with  an average of 15 months. The wrist function was evaluated by Cooney scores, with the mean value of 82.  8 cases were excellent, 10 cases good, 5 cases fair and 2 case poor.  X-ray displayed that the fractures of scaphoid were healing   by first intention and  intercarpal joints  were  reduced. The gap between carpal bones was   normal.　Conclusions　It is helpful for the recovery of wrist function using open reduction, internal  fixation with pressure hollow screw and  Kirschner  wire, and the repair of the joint capsule and ligaments, during the treatment of trans-scaphoid  perilunate fracture dislocation.