| 姚剑平 韩琳琳 王聪 李振林 胡艳文 王志武.闭合复位与切开复位治疗桡骨远端骨折的疗效对比[J].,2016,16(31):6158-6161 |
| 闭合复位与切开复位治疗桡骨远端骨折的疗效对比 |
| Comparison of Quality of Life and Clinical Effect of Closed Reduction and Open Reduction for Patients with Distal Radius Fractures |
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| DOI： |
| 中文关键词: 闭合复位 切开复位 桡骨远端骨折 临床疗效 |
| 英文关键词: Closed reduction Open reduction Distal radius fractures Clinical efficacy |
| 基金项目:安徽省自然科学基金项目(10JJ3038)；国家自然科学基金面上项目（83002019） |
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| 中文摘要: |
| 目的：探讨闭合复位与切开复位对桡骨远端骨折患者的临床疗效。方法：回顾性分析2013 年6 月至2014 年3 月我院收治
的60 例桡骨远端骨折患者，随机数字表法分为切开复位组和闭合复位组，每组30 例。闭合复位组患者给予闭合复位小夹板或石
膏固定治疗，切开复位组患者给予切开复位内固定术治疗。观察并比较两组患者治疗前后掌倾角、尺偏角以及桡骨长度、术中出
血量和手术时间，骨折愈合时间以及患者临床疗效进行检测并比较。结果：与治疗前相比，治疗后患者的掌倾角、尺偏角、桡骨长
度水平均升高（P<0.05）；与闭合复位组相比，切开复位组患者掌倾角、尺偏角、桡骨长度评分水平较高（P<0.05），术中出血量、手术
时间水平较高(P<0.05），临床治疗的优良率较高（P<0.05），两组患者的骨折愈合时间无显著差异（P>0.05）。结论：与闭合复位相比，
切开复位能够明显恢复桡骨远端骨折患者的掌倾角、尺偏角以及桡骨长度，但手术时间以及术中出血量较多，临床疗效较好，两
组患者的骨折愈合时间无明显差异。 |
| 英文摘要: |
| Objective:To investigate the effect of closed reduction and open reduction on the quality of life and clinical outcomes
of patients with distal radius fractures.Methods:60 cases of distal radius fractures treated in our hospital from June 2013 to March 2014
were retrospectively analyzed. The patients were divided into open reduction group and closed reduction group by random number table,
with 30 cases in each group. Closed reduction group patients received closed reduction and splint or plaster fixation and open reduction
group were treated with open reduction and internal fixation. After the end of treatment and on patients with palmar tilt, ulnar deviation
and radial length, blood loss, operation time, fracture healing time and clinical curative effect were observed and compared.Results:Compared with before treatment, the palmar tilt, ulnar deviation and radial length increased after treatment (P<0.05); Compared with the
group of closed reduction, open reduction group of patients with palmar tilt, ulnar deviation, radial length and were higher (P<0.05), The
amount of bleeding and operation time were higher in the operation (P<0.05); the clinical treatment of the excellent and good rate were
higher (P<0.05); There was no statistically significant about the fracture healing time between two groups (P>0.05).Conclusion:Compared
with closed reduction, open reduction can obviously recovered patients with fracture of the distal radius of volar tilt, ulnar deviation
and radial length, but the operation time and the intraoperative hemorrhage volume more, clinical curative effect better, two groups of patients
with fracture healing time had no significant difference. |
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