中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2013年
2期
141-145
,共5页
韦旭明%孙振中%宋骁军%宋升%王建兵%马运宏%刘军%刘宇
韋旭明%孫振中%宋驍軍%宋升%王建兵%馬運宏%劉軍%劉宇
위욱명%손진중%송효군%송승%왕건병%마운굉%류군%류우
外科手术,微创性%桡骨骨折%疗效比较研究
外科手術,微創性%橈骨骨摺%療效比較研究
외과수술,미창성%뇨골골절%료효비교연구
Surgical procedures,minimally invasive%Radius fractures%Comparative effectiveness research
目的 比较微创经皮钢板接骨术(minimal invasive percutaneous plate osteosynthesis,MIPPO)和常规前臂Henry入路锁定钢板治疗桡骨远端骨折的疗效.方法 回顾性分析应用MIPPO技术和常规前臂Henry入路掌侧锁定钢板治疗桡骨远端骨折患者38例,按随机数字表法分为MIPPO组(20例)和Henry组(18例).比较两组手术时间、术中出血量、并发症、骨折愈合时间、腕关节主动活动范围及上肢功能评定标准(disabilities of the arm,shoulder and hand,DASH)评分.结果 术后随访12～18个月,平均15.5个月.按照DASH评分:MIPPO组(6.16 ±2.45)分,优于Henry组的(10.94±4.25)分(P＜0.05).MIPPO组手术时间较Henry组短(P＜0.05),术中出血量较Henry组少(P＜0.05).两组在骨折愈合时间、并发症、腕关节主动活动范围方面差异均无统计学意义.结论 MIPPO和Henry入路掌侧锁定钢板均能有效治疗桡骨远端骨折.
目的 比較微創經皮鋼闆接骨術(minimal invasive percutaneous plate osteosynthesis,MIPPO)和常規前臂Henry入路鎖定鋼闆治療橈骨遠耑骨摺的療效.方法 迴顧性分析應用MIPPO技術和常規前臂Henry入路掌側鎖定鋼闆治療橈骨遠耑骨摺患者38例,按隨機數字錶法分為MIPPO組(20例)和Henry組(18例).比較兩組手術時間、術中齣血量、併髮癥、骨摺愈閤時間、腕關節主動活動範圍及上肢功能評定標準(disabilities of the arm,shoulder and hand,DASH)評分.結果 術後隨訪12～18箇月,平均15.5箇月.按照DASH評分:MIPPO組(6.16 ±2.45)分,優于Henry組的(10.94±4.25)分(P＜0.05).MIPPO組手術時間較Henry組短(P＜0.05),術中齣血量較Henry組少(P＜0.05).兩組在骨摺愈閤時間、併髮癥、腕關節主動活動範圍方麵差異均無統計學意義.結論 MIPPO和Henry入路掌側鎖定鋼闆均能有效治療橈骨遠耑骨摺.
목적 비교미창경피강판접골술(minimal invasive percutaneous plate osteosynthesis,MIPPO)화상규전비Henry입로쇄정강판치료뇨골원단골절적료효.방법 회고성분석응용MIPPO기술화상규전비Henry입로장측쇄정강판치료뇨골원단골절환자38례,안수궤수자표법분위MIPPO조(20례)화Henry조(18례).비교량조수술시간、술중출혈량、병발증、골절유합시간、완관절주동활동범위급상지공능평정표준(disabilities of the arm,shoulder and hand,DASH)평분.결과 술후수방12～18개월,평균15.5개월.안조DASH평분:MIPPO조(6.16 ±2.45)분,우우Henry조적(10.94±4.25)분(P＜0.05).MIPPO조수술시간교Henry조단(P＜0.05),술중출혈량교Henry조소(P＜0.05).량조재골절유합시간、병발증、완관절주동활동범위방면차이균무통계학의의.결론 MIPPO화Henry입로장측쇄정강판균능유효치료뇨골원단골절.
Objective To compare clinical effects of minimal invasive percutaneous plate osteosynthesis (MIPPO) and ordinary forearm Henry approach palmar locking plate in treatment of distal radial fractures.Methods A retrospective analysis was conducted on the 38 patients with distal radius fracture treated by MIPPO technique and ordinary Henry approach palmar locking plate.The patients were randomly divided into MIPPO group (n =20) and Henry group (n =18).The two groups were compared in aspects of operation time,intraoperative blood loss,complications,fracture healing time,active range of motion of wrist joint and disabilities of the arm,shoulder and hand (DASH) score.Results Duration of follow-up was 12 to 18 months (average 15.5 months).DASH score in MIPPO group [(6.16 ±2.45) points] was better than that in Henry group [(10.94 ±4.25) points] (P ＜0.05).MIPPO group showed a shorter operation time (P ＜ 0.05) and less intraoperative blood loss (P ＜0.05) than Henry group.However,there were no significant differences between the two groups regarding fracture healing time,complications,active movement range of wrist joint.Conclusion MIPPO technique and Henry approach palmar locking plate are both effective in treatment of distal radial fractures.
