摘要
目的分析桡骨远端骨折(DRF)非手术治疗后桡骨短缩的危险因素。方法回顾性分析我院收治的151例接受非手术治疗DRF患者的临床资料,根据是否发生桡骨短缩将患者分为未短缩组(n=98)和短缩组(n=53),分析骨短缩的危险因素。结果缩短组年龄≥60岁、C型骨折、粉碎性骨折、合并骨质疏松、受伤非急诊复位、石膏固定及过早负荷构成比均高于未短缩组(P<0.05);多因素Logistic分析显示,AO分型、合并骨质疏松、受伤至复位时机及过早负荷均是导致DRF患者非手术治疗后发生桡骨短缩的独立危险因素(P<0.05)。结论DRF患者非手术治疗后容易发生桡骨短缩,且危险因素多,应根据临床实际情况采取适合的预防方法。
Objective To analyzethe risk factors of radial shortening after non-operative treatment of distal radius fracture(DRF).Methods The clinical data of 151 patients with DRF undergoing non-operative treatment in our hospital were retrospectively analyzed.According to the occurrence of radial shortening,the patients were divided into non-shortening group(n=98)and shortening group(n=53),and the risk factors of bone shortening were analyzed.Results The constituent ratios of age≥60 years old,type C fracture,comminuted fracture,complicated osteoporosis,non-emergency reduction of injuries,gypsum fixation and premature load in the shortening group were higher than those in the non-shortening group(P<0.05).The multivariate Logistic analysis showed that AO classification,complicated osteoporosis,time from injury to reduction and premature load were independent risk factors for radial shortening after non-operative treatment of distal radius fracture(P<0.05).Conclusion DRF patients are prone to radial shortening after non-operativetreatment,and there are many risk factors.Appropriate prevention methods should be adopted according to the actual clinical situation.
作者
冉党红
胡祥浩
RAN Dang-hong;HU Xiang-hao(Sun Si Miao Hospital of BUCM,Tongchuan 727100;the Fourth People's Hospital of Shaanxi,Xi'an 710043,China)
出处
《临床医学研究与实践》
2019年第23期105-106,共2页
Clinical Research and Practice
关键词
桡骨短缩
桡骨远端骨折
非手术治疗
radial shortening
distal radius fracture
non-operative treatment
