中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
24期
91-93
,共3页
桡骨粉碎性骨折%关节内骨折%手术治疗%效果评价
橈骨粉碎性骨摺%關節內骨摺%手術治療%效果評價
뇨골분쇄성골절%관절내골절%수술치료%효과평개
Comminuted distal radius fractures%Intra-articular fracture%Surgery%Evaluation
目的：探讨桡骨远端粉碎性骨折及关节内骨折的手术治疗效果及评价。方法随机选取2012年11月-2014年11月该院收治的桡骨远端粉碎性骨折及关节内骨折患者120例，根据AO原则进行分类，并按照患者病情不同，分别给予简单内固定联合外固定架固定、钛板螺钉内固定及单纯外固定架固定治疗。结果随访结果显示，功能满意113例、功能认可者5例及功能不满意者2例，手术治疗的满意率为94.16%，不满意率为1.67%。随访前，桡骨尺偏角平均为（28.4±3.2）o，治疗后平均尺偏角为（20.3±2.3）o；治疗前，平均掌倾角为（15.3±3.4）o，治疗后患者平均掌倾角为（8.3±2.1）o，治疗前后比较差异具有统计学意义（P<0.05）。结论对于桡骨远端粉碎性骨折及关节内骨折患者，给予手术方法治疗，对于最大限度恢复桡骨及尺骨关节面凭证、尺偏角、相对长度及掌倾角均有重要的意义，而术后进行适当有效的功能康复锻炼，能使患者腕关节的功能得以最大程度的恢复。
目的：探討橈骨遠耑粉碎性骨摺及關節內骨摺的手術治療效果及評價。方法隨機選取2012年11月-2014年11月該院收治的橈骨遠耑粉碎性骨摺及關節內骨摺患者120例，根據AO原則進行分類，併按照患者病情不同，分彆給予簡單內固定聯閤外固定架固定、鈦闆螺釘內固定及單純外固定架固定治療。結果隨訪結果顯示，功能滿意113例、功能認可者5例及功能不滿意者2例，手術治療的滿意率為94.16%，不滿意率為1.67%。隨訪前，橈骨呎偏角平均為（28.4±3.2）o，治療後平均呎偏角為（20.3±2.3）o；治療前，平均掌傾角為（15.3±3.4）o，治療後患者平均掌傾角為（8.3±2.1）o，治療前後比較差異具有統計學意義（P<0.05）。結論對于橈骨遠耑粉碎性骨摺及關節內骨摺患者，給予手術方法治療，對于最大限度恢複橈骨及呎骨關節麵憑證、呎偏角、相對長度及掌傾角均有重要的意義，而術後進行適噹有效的功能康複鍛煉，能使患者腕關節的功能得以最大程度的恢複。
목적：탐토뇨골원단분쇄성골절급관절내골절적수술치료효과급평개。방법수궤선취2012년11월-2014년11월해원수치적뇨골원단분쇄성골절급관절내골절환자120례，근거AO원칙진행분류，병안조환자병정불동，분별급여간단내고정연합외고정가고정、태판라정내고정급단순외고정가고정치료。결과수방결과현시，공능만의113례、공능인가자5례급공능불만의자2례，수술치료적만의솔위94.16%，불만의솔위1.67%。수방전，뇨골척편각평균위（28.4±3.2）o，치료후평균척편각위（20.3±2.3）o；치료전，평균장경각위（15.3±3.4）o，치료후환자평균장경각위（8.3±2.1）o，치료전후비교차이구유통계학의의（P<0.05）。결론대우뇨골원단분쇄성골절급관절내골절환자，급여수술방법치료，대우최대한도회복뇨골급척골관절면빙증、척편각、상대장도급장경각균유중요적의의，이술후진행괄당유효적공능강복단련，능사환자완관절적공능득이최대정도적회복。
Objective To investigate the effect of surgical treatment for patients with comminuted distal radius fractures and intra-articular fractures. Methods 120 patients with comminuted distal radius fractures and intra-articular fractures admitted to our hos-pital between November 2012 and November 2014 were randomly selected and treated with either simple internal fixation com-bined with external fixation device, titanium plate internal fixation, or simple external fixation using attachment frame, according to AO classification and patients' condition. Results Follow-up results showed that to their recovery of function, 113 patients (94.16%) were satisfactory, 5 cases showed some degree of satisfaction and 2 patients (1.67%) were not satisfactory. The even ulnar inclination angle of radius, even volar tilting angle were (28.4±3.2)oand (15.3±3.4)obefore treatment, while those after treatment were (20.3±2.3)oand (8.3±2.1)o, and the differences were statistically significant,P<0.05. Conclusion Surgical treatment for pa-tients with comminuted distal radius fractures and intra-articular fractures is of great significance to the maximum recovery of flat degree of articular surface, ulnar inclination angle, relative length, volar tilting angle, while appropriate and effective rehabilitation exercises can optimize the recovery of wrist function.
