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机构地区:[1]珠海市第二人民医院骨一科,广东珠海519020
出 处:《黑龙江医学》2015年第7期812-814,共3页Heilongjiang Medical Journal
基 金:珠海市科技计划项目(2013D0401990021)
摘 要:目的 对比分析不同外固定方法治疗老年粉碎性Colles骨折的疗效,以制定最佳的治疗方案。方法 选取我院2011-03-2013-09间收治的老年粉碎性Colles骨折患者90例为研究对象,随机分为夹板组与石膏组,每组各45例。夹板组采用小夹板由布带进行捆扎固定,石膏组患者采用管型石膏于腕关节功能位固定,随访观察6个月。结果 夹板组患者临床治疗优良率(77.8%)高于石膏组患者(57.8%),桡骨缩短长度明显少于石膏组患者,掌倾角、尺偏角丢失恢复情况优于石膏组患者,经统计学检验,差异均具有统计学意义(P〈0.05)。结论 采用小夹板外固定治疗老年粉碎性Colles骨折患者较管形石膏外固定,有着更高的临床治疗优良率,腕关节功能恢复更佳,并发症少,具有更高的临床应用价值。Objective To analyze the comparison of different external fixations in the treatment of elderly comminuted Colles fractures for the best treatment project. Methods Totally 90 elderly patients with elderly comminuted Colles fractures were randomly selected from March,2011 to September,2013 in the hospital,and dividing them into two groups,with 45 patients in each group. The fractures were externally fixed with small splint in the splint group,and those were externally fixed with pipe plaster in the plaster group. All cases were followed up for 6 months after therapy. Results The excellent and good rate in splint group was 77. 8%,which was higher than 57. 8% in plaster group. The shortened radius length was significantly less than plaster group. The recovery of the drop of palmar tilt and ulnar deviation was superior to plaster group( P〈0. 05). Conclusion Through comparing with pipe plaster external fixation,the small splint external fixation is more effective in the treatment of elderly comminuted Colles for its higher excellent and good rate,with better recovery of wrist joint function,less complication and better clinical value.
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