摘要
目的探讨切开复位内固定及手法复位石膏外固定两种固定方法在治疗老年骨质疏松性桡骨远端骨折中的临床疗效比较及其对骨质疏松的影响。方法回顾性分析2007年9月—2012年9月本院收治的100例经临床诊断为老年骨质疏松性桡骨远端骨折患者的临床资料,并采用抽签法将患者随机分为2组,每组50例。2组分别给予手法复位石膏外固定术和切开复位内固定术。比较2组临床治疗效果、Mcbridge评分、QLQC-30生活质量评分、骨密度及并发症发生率。结果根据改良的Mcbridge腕关节评分标准,切开复位内固定组患者骨质功能恢复情况优于手法复位石膏外固定组患者,且对骨密度的影响程度更小;根据QLQC-30生活质量评价标准,切开复位内固定组患者术后生存质量明显优于手法复位石膏外固定组,差异有统计学意义(P<0.05);切开复位内固定组优良率优于手法复位石膏外固定组(P<0.05);手法复位石膏外固定组骨密度下降速度明显快于切开复位内固定组。结论切开复位内固定治疗老年骨质疏松性桡骨远端骨折的临床疗效优于手法复位石膏外固定法,患者术后生存质量更优,值得临床推广应用。
Objective To study the clinical effect and its effect on osteoporosis of the open reduction and internal fixation with two fixed methods manual reduction and plaster external fixation in the treatment of senile osteoporotic distal radius fractures.Methods A retrospective analysis was conducted to the clinical data of 100 patients with senile osteoporotic distal radius fractures who were admitted to our hospital.They were randomly divided into two groups,each with 50 cases.The two groups were administered manual reduction and plaster external fixation and open reduction and internal fixation,respectively.The clinical curative effect,QLQC Mcbridge score,30 quality of life score,bone density and incidence of complications of the two groups were compared.Results According to the score standard of improved Mcbridge wrist,the function recovery of open reduction and internal fixation group was better than that of the plaster external fixation group with smaller influence on bone mineral density.According to the evaluation standard of QLQC-30,postoperative quality of life of open reduction and internal fixation group was significantly better than that of the manual reduction plaster external fixation group.The difference was statistically significant（P〈0.05）.Excellence rate of the open reduction and internal fixation group was higher than that of the manual reduction plaster external fixation group（P〈0.05）.The bone mineral density of the manual reduction plaster external fixation group was markedly lower than that of open reduction and internal fixation group.Conclusion The clinical effect of open reduction and internal fixation in treatment of senile osteoporosis of distal radius fracture reduction is better than that of the manual reduction plaster external fixation with better quality of life after surgery.Thus it is worthy of wide clinical application.
出处
《实用临床医药杂志》
CAS
2013年第13期128-130,133,共4页
Journal of Clinical Medicine in Practice
关键词
切开复位内固定
手法复位石膏外固定
老年骨质疏松性桡骨远端骨折
生存质量
open reduction and internal fixation
manual reduction plaster external fixation
elderly osteoporotic distal radius fractures
quality of life
