中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
6期
863-865
,共3页
克雷氏骨折%骨折固定术,内
剋雷氏骨摺%骨摺固定術,內
극뢰씨골절%골절고정술,내
Colles fracture%Fracture fixation,internal
目的 比较采用手法整复外固定支架固定与切开复位钢板内固定治疗克雷氏骨折的临床效果.方法 选取120例克雷氏骨折患者,利用随机数字表法进行分组,分别设为观察组和对照组,每组各60例.对照组采取手法整复外固定架固定治疗,而观察组则实施切开复位钢板内固定治疗.记录两组患者骨折预后情况及并发症发生率,并做好对比.结果 观察组总有效率为93.3％,对照组总有效率为91.7％,两组差异无统计学意义(x2 =2.083,P＞0.05);观察组显效率83.3％,对照组显效率为66.7％,两组差异有统计学意义(x2=5.436,P ＜0.05).观察组并发症发生率为3.3％ (2/60),对照组为8.3％(5/60),差异有统计学意义(x2 =6.172,P＜0.05).结论 两种方案在治疗克雷氏骨折方面的效果相当,对不愿接受手术治疗患者可实施手法整复外固定架固定治疗,若存在粉碎性骨折则实施切开复位钢板内固定治疗.
目的 比較採用手法整複外固定支架固定與切開複位鋼闆內固定治療剋雷氏骨摺的臨床效果.方法 選取120例剋雷氏骨摺患者,利用隨機數字錶法進行分組,分彆設為觀察組和對照組,每組各60例.對照組採取手法整複外固定架固定治療,而觀察組則實施切開複位鋼闆內固定治療.記錄兩組患者骨摺預後情況及併髮癥髮生率,併做好對比.結果 觀察組總有效率為93.3％,對照組總有效率為91.7％,兩組差異無統計學意義(x2 =2.083,P＞0.05);觀察組顯效率83.3％,對照組顯效率為66.7％,兩組差異有統計學意義(x2=5.436,P ＜0.05).觀察組併髮癥髮生率為3.3％ (2/60),對照組為8.3％(5/60),差異有統計學意義(x2 =6.172,P＜0.05).結論 兩種方案在治療剋雷氏骨摺方麵的效果相噹,對不願接受手術治療患者可實施手法整複外固定架固定治療,若存在粉碎性骨摺則實施切開複位鋼闆內固定治療.
목적 비교채용수법정복외고정지가고정여절개복위강판내고정치료극뢰씨골절적림상효과.방법 선취120례극뢰씨골절환자,이용수궤수자표법진행분조,분별설위관찰조화대조조,매조각60례.대조조채취수법정복외고정가고정치료,이관찰조칙실시절개복위강판내고정치료.기록량조환자골절예후정황급병발증발생솔,병주호대비.결과 관찰조총유효솔위93.3％,대조조총유효솔위91.7％,량조차이무통계학의의(x2 =2.083,P＞0.05);관찰조현효솔83.3％,대조조현효솔위66.7％,량조차이유통계학의의(x2=5.436,P ＜0.05).관찰조병발증발생솔위3.3％ (2/60),대조조위8.3％(5/60),차이유통계학의의(x2 =6.172,P＜0.05).결론 량충방안재치료극뢰씨골절방면적효과상당,대불원접수수술치료환자가실시수법정복외고정가고정치료,약존재분쇄성골절칙실시절개복위강판내고정치료.
Objective To compare the effect of different fracture fixation in the treatment of patients with Colles fracture.Methods 120 patients with Colles fracture were randomly divided into the study group and control group,6 0 cases in each group.The control group received the manipulative reduction and external fixation frame,while the study group was treated with open reduction and plate fixation of implementation.The fracture prognosis and the incidence of complications were recorded and compared.Results The total effective rate of the study group was 93.3％,the total effective rate of the control group was 91.7％,there was no statistically significant difference between the two groups (x2 =2.083,P ＞ 0.05).The obvious effective rate of the study group was 83.3 ％,that of the control group was 66.7％,the difference was statistically significant(x2 =5.436,P ＜ 0.05).The incidence rate of complications between the two groups had no significant difference [3.3％ (2/60) vs 8.3％ (5/60),P ＜ 0.05].Conclusion The two plans in the treatment of Colles fracture had similar clinical effect,patients who unwilling to accept operation treatment can be given manipulative reduction and external fixation,if there is comminuted fracture,the open reduction and plate fixation should be implemented.
