桡骨远端骨折内固定术后预防急性腕管综合征的方法探讨  

Prevention of median nerve insult after internal fixation of distal radius fractures

作　　者：孙罡 李建浩 

机构地区：[1]绍兴市柯桥区齐贤医院骨科,浙江312065

出　　处：《中华手外科杂志》2016年第4期281-282,共2页Chinese Journal of Hand Surgery

摘　　要：目的探讨桡骨远端骨折内固定术后预防急性腕管综合征的方法并分析其治疗效果。方法自2011年3月至2014年3月，我们共收治42例桡骨远端骨折患者，根据Gardand—Werley骨折分型标准，均属于Ⅱ、Ⅲ型。随机分为对照组和康复组，每组21例。对照组患者接受常规切开复位内固定治疗，康复组患者在切开复位内固定治疗后，还需接受康复训练。对比两组患者治疗后并发腕管综合征的比例，从而探究康复训练对桡骨远端骨折内固定术后预防腕管综合征的作用。结果康复组患者术后并发腕管综合征的比例明显低于对照组患者，差异有统计学意义（P〈0．05）。结论桡骨远端骨折切开复位内固定术后合理采用康复训练可以有效保护正中神经，达到预防腕管综合征的目的。Objective To investigate the methods for median nerve protection in internal fixation for distal radius fractures and to analysis the preventive effect. Methods A total of 42 patients with distal radius fractures were treated in our hospital from March 2Oll to March 2014. All the fractures were Gartland-Werley type Ⅱ and Ⅲ. They were randorrdy divided into two groups, with 21 each. Patients in the control group underwent open reduction and internal fixation, while additional rehabilitation therapy was applied after the surgery in the experimental group. The incidence of acute carpal tunnel syndrome （CTS） in the two groups was compared to assess the impact of postoperative rehabilitation on preventing post-fracture fixation CTS. Results The incidence of acute carpal tunnel syndrome in the experimental group was significantly lower than that in the eontrol group （ P 〈 0.05）. Conclusion Rehabilitation therapy following open reduction and internal fixation of distal radius fractures can effectively protect the median nerve and prevent acute CTS.

关 键 词：骨折固定术 内 正中神经 康复 

分 类 号：R687.3[医药卫生—骨科学]