摘要
目的:探讨改良Henry入路结合锁定加压钢板(locking compression plate,LCP)微创治疗桡骨远端C3型骨折的临床疗效。方法:选取2011年1月-2014年12月期间本院收治的桡骨远端C3型骨折患者84例,采用随机数字表法将患者分为观察组与对照组,每组各42例,观察组患者采用改良Henry入路结合LCP钢板微创治疗;对照组患者采用传统Henry入路结合LCP钢板治疗。比较两组临床疗效。结果:治疗后,两组腕关节改良McBride评分、Dienst关节评分优良率比较差异均无统计学意义(P>0.05);观察组手术时间、骨折暴露时间与骨折愈合时间均明显低于对照组,两组比较差异均有统计学意义(P<0.05);观察组正中神经刺激率明显低于对照组,旋前方肌修复率明显高于对照组,比较差异均有统计学意义(P<0.05)。手术前,两组患者掌倾角、尺偏角与桡骨高度比较均无统计学意义(P>0.05);手术后,全部患者掌倾角、尺偏角及桡骨高度均明显高于手术前,手术前后比较差异均有统计学意义(P<0.05)。结论:改良Henry入路结合LCP钢板微创治疗有助于显著缩短桡骨远端C3型骨折患者手术时间与骨折愈合时间,显著改善旋前方肌修复程度,降低正中神经刺激症发生风险。
Objective：To study the clinical curative effect of improved Henry approach combined locking compression will plate（LCP） minimally invasive treatment for C3 type distal radius fractures.Method：Eighty four cases of patients with C3 type distal radius fractures admitted to our hospital from January 2011 to December 2014 were selected and divided into the observation group and the control group according to the random number table method,each group for 42 cases,the observation group was treated by improved Henry approach combined with LCP minimally invasive treatment,while the control group was treated by traditional Henry approach combined with LCP treatment.The clinical curative effect of the two groups were compared.Result：After the treatment,the differences on excellent and good rates of wrist joint improvement McBride scores and Dienst joint scores had no statistical significance between the two groups（P〉0.05）,the operating time,exposure time of fracture and fracture healing time in the observation group were significantly lower than which of the control group,the differences were statistically significant（P〈0.05）,the median nerve stimulation rate of the observation group was obviously lower than the control group,while the spin front muscle repair rate of which was significantly higher than the control group,the differences were statistically significant（P〉0.05）.Before the operation,patients＇ palm inclination,ulnar inclination and radial height had no statistical significance compared between the two groups（P〈0.05）,which were significantly increased after the operation in both of the two groups,the differences were statistically significant（P〈0.05）.Conclusion：Improved Henry approach combined with LCP minimally invasive treatment helps significantly shorten the surgical time and fracture healing time,improve the repair degree of spin front muscle,and reduce the risk of median nerve stimulation for C3 type distal radius fractures.
出处
《中国医学创新》
CAS
2016年第14期41-44,共4页
Medical Innovation of China
基金
韶关市卫生计生科研项目(Y16121)
