手术治疗的桡骨远端骨折预后指标间相关性分析  

Analysis of outcomes index relationship of postoperative distal radius fracture patients

作　　者：颜勇卿[1] 张培训[2] 王天兵[2] 陈建海[2] 姜保国[2] 

机构地区：[1]浙江省宁波市第二医院骨科中心,315010 [2]北京大学人民医院创伤骨科

出　　处：《中国骨与关节损伤杂志》2014年第3期251-252,共2页Chinese Journal of Bone and Joint Injury

基　　金：国家科技部十一五科技支撑计划(2007BAI04B00);卫生部公益项目科研专项项目(201002014)

摘　　要：目的分析采用手术治疗的桡骨远端骨折患者的预后指标的相关性。方法采用多中心回顾性研究，通过病历查询及随访的方式获取资料，记录患者的性别、年龄、满意度、功能及影像学评分等，用SPSS软件进行统计学分析。结果135例获得随访17-49个月，影像学指标与Gartland＆Werley评分存在一定相关性（ROC曲线法：AUC=0．639，P=0．017）。患者主观满意度主要与掌屈、旋前一旋后相关。结论桡骨远端骨折患者的功能预后并不完全由影像学决定。患者满意度主要与关节活动相关，预后需综合多方面的指标。Objective To analyze outcome index relationship of postoperative distal radius fracture patients. Methods This was a multi-center retrospective reseabch. Data were got through case evaluation and follow-up, including sex, age, patient satisfaction, Gartland ＆ Werley Score and radiographic score. The statistics was analyzed in SPSS. Results All the 135 patients were followed up for 17 to 49 months. ROC curve showed Gartland ＆ Werley Score and radiographic score had association in a certain extent. Patient satisfaction was mainly in relationship with palmar flexion and pronation supination. Conclusion Functional outcomes of patients with postoperative distal radius fracture are not only influenced by radiographic score. Patient＇s satisfaction is in relation with wrist joint range of motion. The related indicators should be combined to predict outcomes.

关 键 词：桡骨远端骨折 预后 功能评分 影像学评分 相关性分析 

分 类 号：R683.41[医药卫生—骨科学]