摘要
[目的]分析探讨影响成人桡骨远端骨折非手术治疗后骨短缩的相关因素,为临床医生判断预后并及时采取防治措施提供依据。[方法]回顾性分析2015年7月~2017年7月因桡骨远端骨折在无锡市中医医院、徐州市中医院、徐州市中心医院接受非手术治疗的患者242例,依据影像学测量,分为短缩组和非短缩组。比较两组间桡骨短缩的相关因素,包括性别、年龄、损伤时间、致伤方式、患侧、骨折类型、治疗方式、早期短缩情况、固定时间、骨密度等变量,并采用逻辑回归分析桡骨短缩的风险因素。[结果]本研究242例患者中147例出现桡骨短缩,短缩率为60.74%。两组间在性别、损伤时间、患侧以及固定时间对桡骨短缩的差异无统计学意义(P>0.05),而在年龄、致伤方式、骨折类型、早期移位情况以及骨密度的差异具有统计学意义(P<0.05)。多因素逻辑回归分析显示:年龄(OR=1.759,P<0.001)、骨折类型(OR=0.408,P=0.017)、早期移位情况(OR=3.462,P=0.040)以及骨质疏松(OR=1.823,P=0.011)是桡骨远端骨折非手术治疗后桡骨短缩的发生相关因素(P<0.05)。[结论]桡骨远端骨折非手术治疗后桡骨短缩的发生率较高。高龄、骨折类型复杂、早期移位严重和骨质疏松是桡骨短缩的危险因素。
[Objective] To explore the relative factors of radial shortening in distal radial fracture after non-surgical therapy in adults for evaluating the prognosis and taking necessary precaution. [Methods] A total of 242 patients who were treated with non-surgical therapy for distal radial fracture in Wuxi Hospital of Chinese Medicine, Xuzhou Hospital of Chinese Medicine and Xuzhou Central Hospital were collected from July 2015 to July 2017. All the patients were divided into two groups, the shortening group and the non-shortening group based on the radiographic measurement of radial length. The relative variables,such as age, gender, injury time, how to injury, affected side, fracture classification, type of therapy, early status of shortening,immobilization time and bone mineral density were compared between the two groups. In addition, the multivariate logistic regression was used to analyze the risk factors. [Results] Of the 242 patients, 147 patients had radial shortening, accounting for60.74%. There were significant statistical differences between the shortening group and the non-shortening group in age, how to injury, fracture classification, early status of shortening and bone mineral density（P〈0.05）, although no statistical differences were found in gender, injury time, affected side and immobilization time between them（P〉0.05）. Moreover, multivariate logistic regression analysis revealed that age（OR=1.759, P〈0.001）, fracture classification（OR=0.408, P=0.017）, early status of shortening（OR=3.462 P=0.040） and bone mineral density（osteoporosis）（OR=1.823, P=0.011） were related to radial shortening. [Conclusion] The incidence of radial shortening in distal radial fracture after non-surgical therapy is really high. The risk factors include advanced age, complex fracture classification, severe fracture disposition and osteoporosis.
作者
华臻
王建伟
尹恒
陆振飞
刘明明
潘腾
程建
潘娅岚
HUA Zhen;WANG Jian-wei;YIN Heng;LU Zhen-fei;LIU Ming-ming;PAN Teng;CHENG Jian;PAN Ya-lan(Orthopaedic Department,Wuxi Hospital of Chinese Medicine,Wuxi 214071,China;Orthopaedic Department,Xuzhou Hospital of Chinese Medicine,Xuzhou 221003,China;Orthopaedic Department,Xuzhou Central Hospital,Xuzhou 221009,China;Institute of Orthopaedic＇s,Nanjing University of Chinese Medicine,Nanjing 210023 China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2018年第16期1446-1451,共6页
Orthopedic Journal of China
基金
无锡市科技发展资金项目(编号:CSE31N1514)
无锡市卫计委科研项目(编号:Q201504)
关键词
桡骨远端骨折
非手术治疗
桡骨短缩
危险因素
distal radial fracture
non-surgical treatment
radial shortening
risk factor
