不同切口入路重建钢板内固定术治疗尺桡骨双骨折的疗效比较  

Effects of Single Incision and Double Incision Approaches for Reconstruction Plate Fixation in the Treatment of Fracture with Both Ulna and Radius: A Comparative Study

作　　者：周明平[1] 

机构地区：[1]丽水市人民医院创伤骨科,浙江丽水323000

出　　处：《健康研究》2016年第6期661-663,共3页Health Research

摘　　要：目的比较单切口与双切口入路重建钢板内固定术治疗尺桡骨双骨折的疗效,为尺桡骨骨折治疗提供参考。方法尺桡骨双骨折患者60例随机分为2组各30例,分别选择背侧单切口入路(单切口组)和桡尺侧双切口入路(双切口组),均行重建钢板内固定术,比较2组治疗效果。结果术后7 d单切口组疼痛视觉模拟评分(VAS)显著低于双切口组(P<0.05);术后3个月、6个月,2组美国特种外科医院前臂评分(HSS)比较差异无统计学意义(P>0.05)。单切口组并发症发生率显著低于双切口组(P<0.05)。结论单切口与双切口入路重建钢板内固定术对前臂功能改善作用相当,但单切口入路术后疼痛轻且并发症更少。Objective To examine the effects of different approaches for reconstruction plate fixation in the treatment of fracture with both ulna and radius so as to provide a reference for the treatment of fracture with both ulna and radius.Method 60 patients with fracture with both ulna and radius were randomly divided into 2 groups,each consisting 30 patients. The single incision group selected single dorsal incision while the double incision group selected radial ulnar double incision approach. Both underwent reconstruction plate fixation and the effects of both approaches were then compared. Findings 7 days after surgery,the pain visual analogue scale（ VAS） in the single incision group was lower than that in the double incision group（ P〈0. 05）. 3 months and 6 months after surgery,no significant difference was found between the two groups in forearm Hospital for Special Surgery（ HSS） scores（ P〉0. 05）. The complication rate in the single incision group was lower than that in the double incision group. The difference was statistically significant（ P〈0. 05）. Conclusion Single incision has the same forearm function improvement effect as double incision approach.However,single incision approach engenders less trauma,less postoperative pain and fewer complications.

关 键 词：尺桡骨双骨折 重建钢板内固定术 单切口/双切口 

分 类 号：R683.41[医药卫生—骨科学]