实用临床医学
實用臨床醫學
실용림상의학
Practical Clinical Medicine
2015年
9期
28-29,68
,共3页
桡骨远端骨折%内固定%外固定%手术治疗
橈骨遠耑骨摺%內固定%外固定%手術治療
뇨골원단골절%내고정%외고정%수술치료
distal radial fracture%internal fixation%external fixation%surgery
目的：比较分析2种内固定方法治疗 C3桡骨远端骨折的疗效。方法将48例 C3桡骨远端骨折患者按随机数字表法分为2组，每组24例。观察组采用外固架固定治疗，对照组采用切开复位“T”型钢板内固定治疗。对2组患者手术时间、术中出血量、术后骨折愈合时间及腕关节功能的恢复情况进行比较。结果观察组手术时间短于对照组、术中出血量少于对照组[（42．5±6．2）min、（53．0±10．5）mL 比（75．6±9．1）min、（139．2±13．5）mL，均P ＜0．05]；2组术后骨折愈合时间比较差异无统计学意义（P ＞0．05）。2组患者均随访1年，根据 Gartland-Werley腕关节功能评分标准，观察组优良率为91．7％，对照组优良率为95．8％，2组比较差异无统计学意义（χ2＝1．058， P ＞0．05）。结论外固定支架具有安装简单、创伤小、手术时间短及出血量少等特点，在桡骨远端不稳定骨折的治疗中有很大空间。
目的：比較分析2種內固定方法治療 C3橈骨遠耑骨摺的療效。方法將48例 C3橈骨遠耑骨摺患者按隨機數字錶法分為2組，每組24例。觀察組採用外固架固定治療，對照組採用切開複位“T”型鋼闆內固定治療。對2組患者手術時間、術中齣血量、術後骨摺愈閤時間及腕關節功能的恢複情況進行比較。結果觀察組手術時間短于對照組、術中齣血量少于對照組[（42．5±6．2）min、（53．0±10．5）mL 比（75．6±9．1）min、（139．2±13．5）mL，均P ＜0．05]；2組術後骨摺愈閤時間比較差異無統計學意義（P ＞0．05）。2組患者均隨訪1年，根據 Gartland-Werley腕關節功能評分標準，觀察組優良率為91．7％，對照組優良率為95．8％，2組比較差異無統計學意義（χ2＝1．058， P ＞0．05）。結論外固定支架具有安裝簡單、創傷小、手術時間短及齣血量少等特點，在橈骨遠耑不穩定骨摺的治療中有很大空間。
목적：비교분석2충내고정방법치료 C3뇨골원단골절적료효。방법장48례 C3뇨골원단골절환자안수궤수자표법분위2조，매조24례。관찰조채용외고가고정치료，대조조채용절개복위“T”형강판내고정치료。대2조환자수술시간、술중출혈량、술후골절유합시간급완관절공능적회복정황진행비교。결과관찰조수술시간단우대조조、술중출혈량소우대조조[（42．5±6．2）min、（53．0±10．5）mL 비（75．6±9．1）min、（139．2±13．5）mL，균P ＜0．05]；2조술후골절유합시간비교차이무통계학의의（P ＞0．05）。2조환자균수방1년，근거 Gartland-Werley완관절공능평분표준，관찰조우량솔위91．7％，대조조우량솔위95．8％，2조비교차이무통계학의의（χ2＝1．058， P ＞0．05）。결론외고정지가구유안장간단、창상소、수술시간단급출혈량소등특점，재뇨골원단불은정골절적치료중유흔대공간。
Objective To compare the clinical efficacies of two internal fixation methods for C3 distal radius fractures.Methods Forty-eight patients with C3 distal radius fractures were ran-domly divided into two groups,with 24 patients in each group.The observation group was treated with external fixation.The control group was given open reduction and internal fixation with T-plate.The operation time,intraoperative blood loss,postoperative fracture healing time and wrist joint function were compared between the two groups.Results Compared with control group,ex-ternal fixation significantly shortened operation time((42.5±6.2)min vs(75.6 ±9.1)min,P <0.05),and obviously reduced intraoperative blood loss((53.0±10.5)mL vs (139.2±13.5)mL, P <0.05).The difference in postoperative fracture healing time was not significant between the two groups (P >0.05).According to the Gartland-Werley criteria,no significant difference in the excellent rate of wrist joint function was found between observation group and control group after 1 year of follow-up (91.7% vs 95.8%,χ2 =1.058,P >0.05).Conclusion The external fixator is associated with simple installation,minimal trauma,short operation time and mild bleeding in the treatment of unstable distal radius fractures.
