CAJ | 학술논문

目的：探讨手术与保守治疗桡骨远端骨折的对比研究。方法选取2013年11月～2014年11月我院接诊的43例桡骨骨折患者，按照入院的先后顺序分为两组，23例实验组采用手术治疗方式，20例对照组采用保守治疗方式，观察两组患者的治疗效果。结果实验组患者的治疗总有效率、Cooney 腕关节功能恢复评分、功能恢复度及并发症的发生率优于对照组，差异有统计学意义（P<0.05）。结论手术治疗桡骨远端骨折的效果显著，患者的治愈率高，腕关节的恢复度高，活动度受限小，并发症的发生率低。
목적：탐토수술여보수치료뇨골원단골절적대비연구。방법선취2013년11월～2014년11월아원접진적43례뇨골골절환자，안조입원적선후순서분위량조，23례실험조채용수술치료방식，20례대조조채용보수치료방식，관찰량조환자적치료효과。결과실험조환자적치료총유효솔、Cooney 완관절공능회복평분、공능회복도급병발증적발생솔우우대조조，차이유통계학의의（P<0.05）。결론수술치료뇨골원단골절적효과현저，환자적치유솔고，완관절적회복도고，활동도수한소，병발증적발생솔저。
Objective Surgical treatment and conservative treatment of barton fracture are comparatively studied. Methods Chose 46 patients with barton fracture who were treated in hospital from November 2013 to November 2014 and separated them into two groups according to their hospitalization sequence,23 patients in study group were given surgical treatment,while 20 patients in control group were given conservative treatment,and then compared treatment effects between two groups. Results Comparative result showed that treatment efficacy,Cooney wrist function recovery score and recovery time and complication incidence in study group were much more favorable than counterparts in control group,there was a treatment differential between two groups,and such a differential had statistic value(P<0.05). Conclusion Surgical treatment is of clinical efficacy to cure patients with barton fracture,it is conducive to patients’wrist function recovery and decreasing patients’ activity limitation with little complication incidence.