| 富 玲,辛畅泰,王英博,张 扬,牟怡平.桡骨远端C型骨折行外固定支架与锁定钢板内固定的差异分析[J].,2017,17(33):6531-6535 |
| 桡骨远端C型骨折行外固定支架与锁定钢板内固定的差异分析 |
| Analysis of the Difference between Eexternal Fixation and Locking Plate Fixation for Type C Fracture of Distal Radius |
| 投稿时间：2017-05-08 修订日期：2017-05-31 |
| DOI：10.13241/j.cnki.pmb.2017.33.030 |
| 中文关键词: 桡骨骨折 外固定支架 锁定钢板内固定 骨折愈合 |
| 英文关键词: Radius fracture External fixation Locking plate internal fixation Fracture healing |
| 基金项目:辽宁省教育厅高等学校科研项目(2009T099） |
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| 中文摘要: |
| 摘要 目的：观察比较桡骨远端C型骨折的外固定支架和锁定钢板的内固定两种治疗方法的临床应用效果。方法：选择2014年1月~2016年1月本院收治的82例桡骨远端C型骨折患者进行本研究，将入选患者随机分为观察组(n=41)和对照组(n=41)。观察组患者行外固定支架治疗，对照组患者采用锁定钢板内固定治疗。对两组患者的手术进行情况进行比较分析，主要评价指标有手术进行时间、手术出血量、术后的住院时间、患者的骨折愈合时间。同时对两组患者在手术完成后出现的并发症的种类和发生率进行统计对比，并且对两组患者出院后进行为期12个月的随访，比较两组患者的掌倾角、尺偏角、桡骨高度进行对比观察。结果：(1) 观察组患者的在手术进行情况方面要优于对照组，具体为表现为手术进行时间、患者住院时间、术中出血量、骨折愈合时间低于对照组患者，有统计学意义(P<0.05)。(2) 观察组患者术后并发症发生率为4.88%(2/41)，对照组则为24.39%(10/41)，两组间差异具有统计学意义(P<0.05)。(3) 随访过程中两组患者的掌倾角、尺偏角、桡骨高度比较差异无统计学意义，提示两组患者术后恢复效果相似。结论：外固定支架与锁定钢板内固定均能治疗桡骨远端C型骨折，骨折愈合和腕关节功能恢复良好，但外固定支架治疗的创伤性更小，术后恢复快，并发症发生率低，在临床上有更高的应用价值。 |
| 英文摘要: |
| ABSTRACT Objective: To observe the clinical effect of two kinds of external fixation and locking plate internal fixation in the treatment of type C distal radius fractures. Methods: 82 patients with distal radius type C fracture in our hospital from January 2014 to ~2016 in January were selected and randomly divided into observation group (n=41) and control group (n=41). Patients in the observa- tion group were treated with external fixation, while the control group was treated with locking plate fixation. The operation of the two groups were compared and analyzed, the main evaluation indicators of the operation time, bleeding volume, postoperative hospital stay, the time of fracture healing. At the same time types on two groups of patients after surgery and the incidence of complications were statis- tically compared, and two groups of patients discharged after 12 months follow-up, compared two groups of patients with palmar tilt, ul- nar inclination and radial height were observed. Results: (1) patients in the observation group in the operation condition is superior to the control group, the specific performance for the operation time, hospitalization time, intraoperative bleeding volume, fracture healing time were lower than the control group, there was statistical significance (P<0.05). (2) the incidence of postoperative complications in the ob- servation group was (2/41), and the control group was 24.39% (10/41), the difference between the two groups was statistically significant (P<0.05). (3) there was no significant difference between the two groups during the follow-up of the patients in the two groups. The re- sults showed that there was no significant difference between the patients in the two groups. Conclusion: External fixation with locking plate fixation in the treatment of distal radial C were fracture healing and good recovery, wrist joint function of traumatic fracture, but smaller external fixation, faster postoperative recovery, low complication rate, has higher application value in clinical practice. |
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