2种骨折术联合应用对桡骨远端骨折术后腕关节功能的影响研究  

Study on the Effect of Combined Application of 2 Kinds of Fracture on Wrist Function After Distal Radius Fracture

作　　者：陈焱[1] 单德龙 秦春耀[1] 顾凯明[1] 任超[1] 陈国辉[1] CHEN Yan SHAN Delong QIN Chunyao GU Kaiming REN Chao CHEN Guohui(Department of Orthopaedics, The Third Affiliated Hospital of Baotou Medical College （The Inner Mongolia North Heavy Industries Group Co., Ltd Hospital）, Baotou Inner Mongolia 014030, China The Second Department of Orthopaedics, Tongliao Hospital, Tongliao Inner Mongolia 028000, China)

机构地区：[1]包头医学院第三附属医院(内蒙古北方重工业集团有限公司医院)骨科,内蒙古包头014030 [2]内蒙古通辽市医院骨二科,内蒙古通辽028000

出　　处：《中国继续医学教育》2017年第3期108-110,共3页China Continuing Medical Education

摘　　要：目的研究桡骨远端骨折患者采用尺骨茎突骨折术联合桡骨远端骨折术对腕关节功能的影响。方法选取我院2014年3月—2016年3月收治的尺骨茎突骨折合并桡骨远端骨折患者88例作为研究对象。所有患者按床位单双号分为对照组与联合组,每组各44例。对照组单纯采用桡骨远端骨折术治疗,联合组在上述基础上联合尺骨茎突骨折治疗。观察两组患者治疗效果以及腕关节活动度情况。结果联合组、对照组治疗优良率分别为95.45%、79.55%,联合组高于对照组(P<0.05)。对比两组合并尺骨茎突骨折Ⅰ型患者的治疗效果,差异无统计学意义(P>0.05);而两组尺骨茎突Ⅱ型患者疗效对比(P<0.05)。两组尺骨茎突骨折Ⅰ型患者,旋前后活动角度、桡尺活动角度以及屈伸活动角度对比,差异无统计学意义(P>0.05)。两组尺骨茎突骨折Ⅱ型患者,联合组旋前后活动角度、桡尺活动角度以及屈伸活动角度均大于对照组(P<0.05)。结论对于桡骨远端骨折合并尺骨茎突骨折Ⅱ型的患者采用尺骨茎突骨折术联合桡骨远端骨折术治疗效果更佳,明显改善腕关节功能,提高患者预后。Objective To study the influence of the combination of ulnar styloid fracture surgery and distal radius fracture surgery on patients with distal radius fracture. Methods 88 cases of patients with combined ulnar styloid fracture and distal radius fracture admitted to our hospital from March 2014 to March 2016 were clinically selected as study object. According to the odd or even numbers, they were divided into control group and combined group, 44 cases in each group. The control group was treated with distal radius fracture surgery, combined group, on the basis of distal radius fracture surgery, received ulnar styloid fracture surgery, to observe the curative effect and wrist activity of patients in two groups. ResultsThe excellent rate of the combined group and the control group were 95.45% and 79.55% respectively, and the combined group was significantly higher than control group（P〈0.05）. There was no difference regarding the therapeutic effect among patients with type I ulnar styloid fracture（P〉0.05）. There was significant difference in the treatment of type II ulnar styloid fracture（P〈0.05）. For two groups of patients with type I ulnar styloid fracture, there was no differences in the front and back spin activity angle, radioulna activity angle, and flexion-extension activity angle for patients with type I ulnar styloid fracture in two groups（P〉0.05）. Regarding two groups of patients with type II ulnar styloid fracture, the front and backspin activity angle, radioulna activity angle, and flexion-extension activity angle of combined group were higher than that of the control group（P〈0.05）. Conclusion The adoption of the combination of ulnar styloid fracture surgery and distal radius fracture surgery for patients with type II distal radius fracture has a better therapeutic effect. It can significantly improve wrist function, and improve the prognosis of patients.

关 键 词：桡骨远端骨折 尺骨茎突骨折 腕关节功能 影响 

分 类 号：R687.3[医药卫生—骨科学]