不同手术方法治疗成人盖氏骨折的效果  

SURGERY FOR ADULT GALEAZZI FRACTURE:OPEN REDUCTION AND INTERNAL FIXATION VERSUS CLOSED REDUCTION AND PLASTER FIXATION

作　　者：孙斌[1,2] 夏玉军[1] 金利新[1] 

机构地区：[1]青岛大学医学院人体解剖学教研室,山东青岛266071 [2]昌邑市人民医院骨科

出　　处：《青岛大学医学院学报》2016年第5期584-585,588,共3页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：目的比较桡尺远侧关节切开复位内固定与闭合复位石膏外固定治疗成人盖氏骨折的效果。方法2008年1月—2014年1月,我院收治的成年盖氏骨折病人42例,采用切开复位钢板内固定治疗23例（切开复位组）,采用闭合复位石膏外固定治疗19例（闭合复位组）。比较两组病人手术时间、手术出血量、术后再脱位例数以及末次术后12周腕关节疼痛程度、腕关节主动活动角度系数、前臂主动旋转角度系数。结果两组病人手术时间、手术出血量比较差异均无显著性（P〉0.05）;切开复位组术后再脱位病人明显少于闭合复位组（χ2=8.47,P〈0.05）;切开复位组的末次术后12周疼痛程度明显低于闭合复位组（t=4.44,P〈0.05）;腕关节主动运动角度系数及前臂主动旋转角度系数与闭合复位组比较,差异有显著性（t=2.14-6.86,P〈0.05）。结论切开复位内固定是治疗成人盖氏骨折的一种有效方法。Objective To compare open reduction and internal fixation of distal radio-ulnar joint and closed reduction plus plaster fixation in the treatment of adult Galeazzi Fracture. Methods During January 2008—January 2014,42 patients with Galeazzi fracture were treated in our hospital.Among them,23 underwent open reduction and internal plate fixation（open-reduction group）,and 19 received closed reduction and plaster external fixation（closed-reduction group）.The following items were compared between the two groups：operation time,blood loss at surgery,and number of re-dislocation after surgery,as well as degree of wrist pain,active angle coefficient of wrist joint,and angle coefficient of the active forearm rotation in 12 weeks after the last operation. Results The differences in operation time and blood loss at surgery between the two groups were not significant（P〈0.05）.The number of postoperative re-dislocation in the open-reduction group was fewer that that in the closed-reduction group（χ2=8.47,P〈0.05）,and the degree of pain,12 weeks after the last operation,was lower（t=4.44,P〈0.05）.The differences in angle coefficient of the active wrist motion and angle coefficient of the active forearm rotation between the two groups were significant（t=2.14-6.86,P〈0.05）. Conclusion Open reduction and internal fixation is an effective method in the treatment of adult Galeazzi fracture.

关 键 词：桡骨骨折 外科手术 治疗结果 

分 类 号：R687.3[医药卫生—骨科学]