闭合复位经皮穿针治疗老年桡骨远端骨折的疗效分析  

Clinical efficacy of the closed reduction and percutaneous K-wires fixation on elderly distal radius fractures

作　　者：李钦柱 李德 Li Qinzhu

机构地区：[1]山东省莱芜市中医医院

出　　处：《中医临床研究》2019年第11期92-94,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨闭合复位经皮穿针治疗老年桡骨远端骨折的效果。方法:于2012年12月-2017年12月期间,收治可以行手法复位的老年桡骨远端骨折患者158例,随机将患者分为观察组和对照组两组,各79例。观察组采用手法复位、经皮穿针以及石膏托外固定治疗。对照组患者采用手法复位、石膏托外固定。随访时间为7~18个月,平均12个月,观察两组患者再次移位的例数及功能恢复的情况。结果:观察组中10例患者发生骨折再移位(12.65%),对照组为26例(32.91%),两组患者差异有统计学意义(P<0.05)。观察组功能恢复优良率为88.61%,对照组为70.88%,两组数据差异具有统计学意义(P<0.05)。结论:闭合复位经皮穿针是治疗老年桡骨远端骨折的有效方法。Objective:To investigate efficacy of closed reduction and percutaneous K-wires fixation on elderly distal radius fracture. Methods:From Dec 2012 to Dec 2017,158 elderly patients with distal radius fracture were randomly divided into the observation group and the control group,79 cases in each.The patients were treated by closed reduction and percutaneous K-wires internal fixation plus plaster external fixation in the observation group.The others were treated by closed reduction and plaster external fixation in the control group.All the patients were followed up to 7 to 18 months (mean 12 months).Observe the number of redisplacement of fracture and functional recovery of the two groups.Results:10 cases had fracture redisplacement in the observation group (12.65%),and 26 patients in the control group (32.91%).The difference between the two groups was statistically significant(P<0.05).The functional recovery excellent and good rate was 88.61% in the observation group,and 70.88% in the control group.The difference between the two groups was statistically significant (P<0.05).Conclusion:Closed reduction and percutaneous K-wires internal fixation is an effective method for the treatment of distal radius fractures in elderly patients.

关 键 词：桡骨远端骨折 闭合复位 经皮穿针 

分 类 号：R274.11[医药卫生—中医骨伤科学]