微创经皮钢板接骨术与Henry入路钢板内固定治疗桡骨远端骨折的疗效观察  

Efficacy of Minimally Invasive Percutaneous Plate Osteosynthesis and Henry Approach Plate Fixation for Distal Radius Fractures

作　　者：胡文雄[1] 蒋家正[1] 韩宏德 张恒林[1] 谢文凯[1] 郭祥[2] 

机构地区：[1]儋州市第一人民医院骨科,海南三亚571700 [2]海口市人民医院骨科中心,海南海口570100

出　　处：《现代生物医学进展》2016年第3期536-538,共3页Progress in Modern Biomedicine

摘　　要：目的:研究微创经皮钢板接骨术与Henry入路钢板内固定治疗桡骨远端骨折的疗效。方法:选取2013年2月到2014年2月我院收治的桡骨远端骨折患者86例,按照随机数字表法将患者分为Ⅰ组和Ⅱ组,每组43例,Ⅰ组患者给予微创经皮钢板接骨术治疗,Ⅱ组患者给予Henry入路钢板内固定治疗,术后随访患者1年,比较两组临床疗效。结果:Ⅰ组手术时间、术中出血量显著优于Ⅱ组,两组比较差异具有统计学意义(P<0.05);Ⅰ组术后1年DASH评分显著优于Ⅱ组,两组比较差异具有统计学意义(P<0.05);两组并发症比较无统计学意义(P>0.05)。结论:微创经皮钢板接骨术治疗桡骨远端骨折具有较好的临床疗效,能缩短手术时间、降低术中出血量,改善患者上肢功能。Objective： To study the efficacy of minimally invasive percutaneous plate osteosynthesis and Henry approach plate fixation in the treatment of patients with distal radius fractures. Methods： A total of 86 patients with distal radius fractures, who were admitted to Danzhou First People＇s Hospital from February 2013 to February 2014, were selected and randomly divided into group Ⅰ（n=43） and group Ⅱ（n=43）. Group Ⅰ was treated with minimally invasive percutaneous plate osteosynthesis, while group Ⅱ, with Henry approach plate fixation. After operation, the patients of the two groups were followed up for one year. The clinical efficacy of the two groups was compared. Results： The operative time and intraoperative blood loss of group Ⅰ were significantly better than those of group Ⅱ, the difference was statistically significant（P〈0.05）. DASH score of group Ⅰ was significantly better than that of group Ⅱ one year after operation,the difference was statistically significant（P〈0.05）. There was no statistically significant difference in the complications between the two groups（P〈0.05）. Conclusion： Minimally invasive percutaneous plate osteosynthesis has better clinical efficacy in the treatment of patients with distal radius fractures, which can shorten the operation time, reduce intraoperative blood loss and improve the upper extremity function of the patients.

关 键 词：微创经皮钢板接骨术 Henry入路钢板内固定 桡骨远端骨折 

分 类 号：R683[医药卫生—骨科学]