桡骨远端骨折锁定钢板治疗  

Distal radial fractures locking plate treatment

作　　者：肖学军[1] 

机构地区：[1]广州市第一人民医院,广东广州510180

出　　处：《中国医药导报》2011年第15期60-61,共2页China Medical Herald

摘　　要：目的:探讨锁定钢板治疗桡骨远端骨折的临床治疗效果。方法:将我院2005年1月～2008年6月收治的桡骨远端骨折68例患者随机分为研究组和对照组,研究组34例,采用"T"形锁定加压钢板内固定治疗;对照组34例采用手法复位石膏或夹板外固定治疗。出院后随访,根据Dienst功能评分标准进行评定,比较两种治疗方法的临床疗效。结果:68例患者均获随访,随访时间为6～24个月,平均14.5个月,研究组优良率为81.6%,其中A型优良率为90.9%,B、C型优良率为81.5%;对照组优良率为67.6%,其中A型优良率为90.9%,B、C型优良率为61.5%。两组A型骨折优良率差异无统计学意义(P>0.05);B、C间优良率差异有统计学意义(P<0.05)。结论:锁定钢板治疗桡骨远端骨折效果较好,尤其是B、C型骨折,其优良率优于闭合复位石膏外固定。Objective：To study the efficacy of locking plates distal radius fractures.Methods：68 cases of the patients with distal radial fracture were randomly divided into the research group and control group,34 patients in research group,adopt the ＂T＂ type locking compression plate fixation,34 patients in control group used technique reset gesso or splint external fixation treatment.After discharge follow-up,according to dienst functional score standard evaluated and compared the clinical curative effect of the two groups.Results：68 patients had been followed up for 6-24 months（average 14.5 months）,the excellent rate was 81.6% in the research group,type A dykes for 90.9%,type B and C for 81.5%,the control group for 67.6%,including type A dykes for 90.9%,type B and C for 61.5%.Between the two groups of fractures,the difference was not statistically significant on the type A clykes（P0.05）.B,C,difference was statistically significant（P0.05）.Conclusion：Locking plate treat distal radial fractures effect is good,especially with type B and C of fractures is better than closed reduction gesso external fixation.

关 键 词：桡骨远端骨折 “T”形钢板 外固定 疗效 

分 类 号：R681.7[医药卫生—骨科学]