摘要
目的分析C型桡骨远端骨折手术治疗的临床疗效。方法采用奇偶数分组法将120例C型桡骨远端骨折患者的病历资料分为对照组和观察组,其中对照组采用中医传统小夹板非手术治疗,观察组采用手术切开钢板内固定复位治疗。比较两组患者桡骨远端骨折的解剖位置复位、腕关节功能恢复、骨折愈合时间及并发症发生率。结果对照组骨折治疗后桡骨断端存在畸形有18例、观察组有7例,两组C3型数据差异具有统计学意义(P<0.05);对照组的功能恢复有效率为73.33%、观察组为96.67%,两组C3型数据差异具有统计学差异(P<0.05);对照组的骨折愈合时间平均为(93.4±7.0)d、观察组为(89.4±8.5)d,差异有统计学意义(P<0.05);对照组握力评分为(2.7±0.2)分,观察组为(3.2±1.3)分,两组比较差异有统计学意义(P<0.05);对照组的并发症发生率为20.00%、观察组为3.33%,两组C3型数据差异有统计学意义(P<0.05)。结论手术切开钢板内固定复位治疗C2型和C3型桡骨远端骨折在解剖位置复位情况、腕关节功能恢复情况、骨折愈合时间及并发症发生率方面疗效较好,在临床诊断治疗中可根据骨折的情况及患者的需求灵活选择。
Objective To analyze the clinical efficacy of surgical treatment of C-type fracture of distal radius. Methods Medical＇records of 120 patients with C-type fracture of distal radius were divided based on the odd/even case numbers into control group and observation group. Patients in the control group were given TCM small splint treatment, while patients in the observation group were given surgical incision steel plate internal fixation treatment. Fracture anatomical position restoration of distal radius, functional rehabilitation of wrist joint, time of fracture healing, and incidence of complications were compared between two groups. Results Malformation at broken end of fractured distal radius after treatment was observed in 18 cases of control group and 7 cases in observation group, and there was significant difference in C3-type data （P〈0.05）. The effective rate of functional rehabilitation was 73.33% in control group and 96.67% in observation group, and there was significant difference in C3-type data between the two groups（P〈0.05）. The average fracture healing time was （93.4±7.0） days in control group and （89.4±8,5） days in observation group, and the difference was significant （P〈0.05）. The score of gripping power was （2.7±0.2） in control group and（3.2±1.3） in observation group, and the difference was significant （P〈0.05）. The incidence rate of complications was 20.00% in control group and 3.33% in observation group, and there was significant difference in C3-type data between the two groups（P〈0.05）. Conclusion Surgical incision steel plate internal fixation treatment has favorable efficacy in treatment of C2-and C3- type fracture of distal radius considering fracture anatomical position restoration, functional rehabilitation of wrist joint, time of fracture healing, and incidenc~ of complications. In clinical practice, treatment method should be selected based on the condition of fracture and requirement of patients.
出处
《中国现代医生》
2016年第20期65-68,共4页
China Modern Doctor
基金
浙江省中医药科学研究基金项目(2015ZB124)
关键词
C型桡骨远端骨折
夹板外固定
手术内固定
中医传统小夹板
C-type fracture of distal radius
Splint external fixation
Surgical internal fixation
Traditional Chinese medicine small splint
