老年桡骨远端骨折两种治疗方式的比较  

The Comparison of Two Treatment Methods for Osteoporotic Distal Radius Fractures in the Elderly

作　　者：王磊[1] 李强[1] 吕刚 杜辉[1] 张玉强 

机构地区：[1]辽宁省阜新市中心医院,辽宁阜新123000 [2]锦州医科大学,辽宁锦州121000

出　　处：《中国中医骨伤科杂志》2017年第11期20-22,28,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：辽宁阜新市卫生局课题

摘　　要：目的:观察保守治疗与手术治疗老年桡骨远端骨折患者的腕关节功能及并发症发生情况。方法:选取自2016年7月至2016年12月在本院治疗的老年桡骨远端骨折患者为研究对象。按照治疗方法的不同分为保守治疗组和手术治疗组。保守治疗组共86例,行石膏外固定治疗;手术治疗组共38例,行掌侧入路接骨板内固定治疗。观察两组患者的腕关节功能、尺偏角、桡骨高度(桡骨茎突至尺骨茎突的距离)、掌倾角、并发症等指标。结果:两组腕关节优良率比较差异无统计学意义(χ2=0.031,P=0.929)。手术治疗组桡骨高度、掌倾角、尺偏角与保守治疗组相比,差异均有统计学意义(P<0.01)。手术治疗组并发症发生率18.4%,保守治疗组并发症发生率34.8%,两组相比差异无统计学意义(χ2=1.280,P=0.246)。结论:保守治疗应作为老年桡骨远端骨折的首选治疗方式,但对于不稳定骨折应早期手术治疗。Objective：To observe the wrist joint function and complication of conservative treatment and surgical treatment for distal radius fractures in elderly.Methods：According to treatment methods,124 elderly patients with distal radius fractures treated in our hospital from July 2016 to December 2016 were divided into conservative group and surgical group.In the conservative group,86 cases were treated with plaster external fixation,and 38 cases were treated with volar approach plate fixation in the operation group.Wrist joint function,ulnar deviation angle,radius height（distance from styloid process to ulna styloid process）,tilt angle of palm and complications were observed in two groups.Results：There was no statistical difference between the two groups in the excellent and good rate of wrist joint（χ2=0.031,P=0.929）.The radius height,palmar inclination angle and ulnar deviation of the surgical treatment group were significantly different from those of the conservative group（P〈0.01）.The complication rate of the operation group was 18.4%,and the complication rate of the conservative group was 34.8%.The difference between the two groups was not obvious（χ2=1.280,P=0.246）.Conclusion：Conservative treatment should be the first choice for the treatment of osteoporotic distal radius fractures in the elderly,but unstable fractures should be treated with plate internal fixation.

关 键 词：老年 桡骨远端骨折 治疗方式 

分 类 号：R683.41[医药卫生—骨科学]