【摘要】：目的探討掌側(cè)入路鎖定鋼板治療橈骨遠(yuǎn)端不穩(wěn)定骨折的療效。方法選擇2012年1月-2015年1月該院收治的93例橈骨遠(yuǎn)端不穩(wěn)定骨折患者,隨機(jī)分為對(duì)照組47例和觀察組46例。對(duì)照組采取外固定支架手術(shù)方法,觀察組采取掌側(cè)入路鎖定鋼板內(nèi)固定治療,根據(jù)患者一般情況、術(shù)后的影像學(xué)測(cè)量參數(shù)和Gartland-Werley腕關(guān)節(jié)評(píng)分評(píng)估手術(shù)效果。結(jié)果兩組患者的尺偏角、掌傾角、橈骨短縮和橈腕關(guān)節(jié)面移位差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),根據(jù)Gartland-Werley評(píng)分標(biāo)準(zhǔn),對(duì)照組優(yōu)良率為70.2%(33/47),觀察組優(yōu)良率為89.1%(41/46),經(jīng)χ~2檢驗(yàn),差異有統(tǒng)計(jì)學(xué)意義(χ~2=5.126,P=0.016),優(yōu)良率觀察組對(duì)照組(P0.05)。結(jié)論經(jīng)掌側(cè)入路鎖定鋼板內(nèi)固定治療橈骨遠(yuǎn)端不穩(wěn)定骨折,患者的術(shù)后功能恢復(fù)較好,值得臨床推廣與應(yīng)用。
[Abstract]:Objective to evaluate the efficacy of locking plate through palmar approach in the treatment of unstable distal radius fractures. Methods from January 2012 to January 2015, 93 patients with unstable distal radius fractures were randomly divided into control group (n = 47) and observation group (n = 46). The patients in the control group were treated with external fixation stents, and the patients in the observation group were treated with locking plate internal fixation via palmar approach. According to the general situation of the patients, the postoperative imaging parameters and Gartland-Werley wrist score were used to evaluate the effect of the operation. Results there was no significant difference in ulnar deviation angle, palmar inclination angle, radial shortening and radiocarpal joint displacement between the two groups (P0.05). According to the Gartland-Werley score, the excellent and good rate of the control group was 70.2% (33 / 47), and the excellent and good rate of the observation group was 89.1% (41 / 46), which was tested by 蠂 ~ 2 test. The difference was statistically significant (蠂 ~ 2, 5.126, P < 0.05), and the excellent and good rate was significant in the control group (P0.05). Conclusion the treatment of unstable distal radius fracture with locking plate through palmar approach is worth popularizing and applying.
【作者單位】： 江蘇省蘇州市吳江第一人民醫(yī)院;
【基金】：江蘇省自然科學(xué)基金(No:BK20105)
【分類號(hào)】：R687.3

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