CAJ | 학술논문

目的：对桡骨远端粉碎性骨折的临床治疗方法以及治疗效果进行观察研究。方法整群选取于2012年8月-2014年9月期间在该院接受治疗的66例桡骨远端粉碎性骨折患者，将患者随机分为对照组和治疗组进行对照研究，观察并比较外固定支架与T型钢板内固定治疗的临床效果。结果治疗组患者的手术时间以及骨折愈合时间显著短于对照组，术中失血量显著少于对照组，腕关节主动活动范围显著大于对照组，同时优良率均显著高于对照组，差异有统计学意义（P<0.05）。结论对桡骨远端粉碎性骨折患者采用T型钢板内固定治疗能够取得十分显著的临床效果，值得进行推广应用。
목적：대뇨골원단분쇄성골절적림상치료방법이급치료효과진행관찰연구。방법정군선취우2012년8월-2014년9월기간재해원접수치료적66례뇨골원단분쇄성골절환자，장환자수궤분위대조조화치료조진행대조연구，관찰병비교외고정지가여T형강판내고정치료적림상효과。결과치료조환자적수술시간이급골절유합시간현저단우대조조，술중실혈량현저소우대조조，완관절주동활동범위현저대우대조조，동시우량솔균현저고우대조조，차이유통계학의의（P<0.05）。결론대뇨골원단분쇄성골절환자채용T형강판내고정치료능구취득십분현저적림상효과，치득진행추엄응용。
Objective To study the treatment of comminuted distal radius fracture and its therapeutic effect. Methods 66 patients with comminuted distal radius fracture admitted to our hospital between August 2012 and September 2014 were randomized into control group and treatment group for a control study to observe and compare the clinical effect of external fixator and T-plate in-ternal fixation. Results The operation duration was shorter, fracture healing earlier, intraoperative blood loss less, active range of motion of the wrist joint larger, excellent-good rate higher in the treatment group than in the control group, and the differences above were statistically significant, P<0.05. Conclusion T-plate internal fixation in the treatment of patients with comminuted dis-tal radius fracture has remarkable effect and is worthy of promotion.