CAJ | 학술논문

目的：探讨影响桡骨远端C型骨折内固定术后疗效的临床相关因素。方法回顾性分析本院不稳定性桡骨远端C型骨折患者48例，分析影响桡骨远端C型骨折内固定术后疗效的临床相关因素。结果 Logistic回归分析结果显示桡骨远端C型骨折内固定术后疗效的相关影响因素包括：年龄、术前等待时间、内固定物类型；进一步分析后发现，年龄＜65岁患者较≥65岁患者术后疗效好，术前等待时间＜13天的患者较≥13天的患者术后疗效好，内固定物为锁定加压钢板较T型钢板术后疗效好。结论年龄、术前等待时间和内固定物类型是桡骨远端C型骨折内固定术后疗效的相关影响因素，发病年龄早，尽早手术，有利于该病的治疗。应用锁定加压钢板较T型钢板疗效显著。
목적：탐토영향뇨골원단C형골절내고정술후료효적림상상관인소。방법회고성분석본원불은정성뇨골원단C형골절환자48례，분석영향뇨골원단C형골절내고정술후료효적림상상관인소。결과 Logistic회귀분석결과현시뇨골원단C형골절내고정술후료효적상관영향인소포괄：년령、술전등대시간、내고정물류형；진일보분석후발현，년령＜65세환자교≥65세환자술후료효호，술전등대시간＜13천적환자교≥13천적환자술후료효호，내고정물위쇄정가압강판교T형강판술후료효호。결론년령、술전등대시간화내고정물류형시뇨골원단C형골절내고정술후료효적상관영향인소，발병년령조，진조수술，유리우해병적치료。응용쇄정가압강판교T형강판료효현저。
Objective To explore the clinical related factors affecting C distal radiusfractures after internal ifxation effect. Method A retrospective analysis of 48 cases patients with fracture of the distal radius unstable C type, to study clinical related factors on the effect of C distal radius fractures after internal ifxationeffect. Result Logistic regression analysis showed that C related effects of distal radius fractures after internal ifxation effect had following factors:age, operation time, ifxation type;further analysis found that age<65 years old had better effect after curative than the patiens age≥65 years old, the operation time was less than13 days in patients with better curative effect than that more than 13 days, ifxation of patients with locking compression plate had better postoperative than that with T type plate. Conclusion Age, operation time and the internal ifxation type are the related factors of C distal radius fractures after internal ifxation treatment, early age of onset, early surgery is conducive to the treatment of the disease. Application of locking compression plate compare with T type plate shows obvious better curative effect.