CAJ | 학술논문

目的观察闭合复位加空心钉固定治疗Barton骨折的疗效,以供临床参考.方法选择2009年10月~2011年9月收治的Barton骨折患者60例,随机分为两组各30例均进行手法复位,对照组患者给予小夹板外固定,观察组患者给予空心钉固定.治疗后随访1年,比较两组患者腕关节活动功能和并发症发生率的差异.结果观察组Kienst功能评分优良率为96.67%,对照组为83.33%;观察组并发症发生率为10.00%,对照组为20.00%.与对照组比较,观察组Kienst功能评分优良率较高,并发症发生率较低,差异具有统计学意义(P<0.05).结论采用闭合复位加空心钉固定治疗Barton骨折,在良好复位的基础上牢固固定,对促进腕关节活动功能恢复、减少并发症具有积极的临床意义,值得推广应用.
목적관찰폐합복위가공심정고정치료Barton골절적료효,이공림상삼고.방법선택2009년10월~2011년9월수치적Barton골절환자60례,수궤분위량조각30례균진행수법복위,대조조환자급여소협판외고정,관찰조환자급여공심정고정.치료후수방1년,비교량조환자완관절활동공능화병발증발생솔적차이.결과관찰조Kienst공능평분우량솔위96.67%,대조조위83.33%;관찰조병발증발생솔위10.00%,대조조위20.00%.여대조조비교,관찰조Kienst공능평분우량솔교고,병발증발생솔교저,차이구유통계학의의(P<0.05).결론채용폐합복위가공심정고정치료Barton골절,재량호복위적기출상뢰고고정,대촉진완관절활동공능회복、감소병발증구유적겁적림상의의,치득추엄응용.
Objective Observe the reduction and cannulated screw fixation for the treatment of Barton fracture to provide references for clinic. Methods Choose 60 cases of Barton fracture from Oct. 2009 to Sep. 2011, divided them into two groups of 30 cases each, and treated by closed reduction. Control group were treated with external fixation by small splint, Observation group were treated with cannulated screw fixation. 1 year later, compared two groups with wrist joint function and complication rate. Results The observation group the Kienst score the excellent and good rate was 96.67%, 83.33%in control group;the complication rate of observation group was 10%, control group 20%. Compared with the control group, the observation group the Kienst score the excellent and good rate is high, a low incidence of complications, the difference was statistically significant (P<0.05). Conclusion Reduction and cannulated screw fixation for the treatment of Barton fracture, promote functional recovery, reduce complications, is worth promoting the application.