掌侧入路切开复位钢板螺钉内固定术与经皮克氏针内固定术治疗桡骨远端骨折患者的效果比较  

Comparison of effects of open reduction and internal fixation through palmar approach and percutaneous Kirschner wire internal fixation in treatment of distal radius fracture

作　　者：谢勇[1] XIE Yong(Orthopedic Surgery Department of the Central Hospital of Jiamusi City,Jiamusi 154002 Heilongjiang,China)

机构地区：[1]佳木斯市中心医院骨外科,黑龙江佳木斯154002

出　　处：《中国民康医学》2021年第13期113-115,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较掌侧入路切开复位钢板螺钉内固定术与经皮克氏针内固定术治疗桡骨远端骨折患者的效果。方法:选取90例桡骨远端骨折患者为研究对象,采用随机数字表法分为研究组和对照组各45例。研究组采用掌侧入路切开复位钢板螺钉内固定术治疗,对照组采用经皮克氏针内固定术治疗。比较两组围术期指标水平、骨折复位指标水平、关节恢复优良率和并发症发生率。结果:研究组骨折愈合时间短于对照组,手术时间为、住院时间长于对照组,差异均有统计学意义(P<0.05)。两组尺桡骨高度差、桡骨尺偏角、桡骨掌倾角水平比较,差异均无统计学意义(P>0.05);研究组关节恢复优良率为88.89%,高于对照组的68.89%,差异有统计学意义(P<0.05);研究组并发症发生率为2.22%,低于对照组的15.56%,差异有统计学意义(P<0.05)。结论:掌侧入路切开复位钢板螺钉内固定术治疗桡骨远端骨折患者可缩短骨折愈合时间,降低并发症发生率,以及提高关节恢复优良率,效果优于经皮克氏针内固定术治疗,但手术时间和住院时间均长于经皮克氏针内固定术治疗。Objective:To compare effects of open reduction and internal fixation through palmar approach and percutaneous Kirschner wire internal fixation in treatment of distal radius fracture.Methods:Ninety patients with distal radius fractures were selected as the research objects,and they were divided into a study group and a control group with a random number table method,each with 45 cases.The study group was treated with open reduction and internal fixation through the palmar approach,while the control group was treated with percutaneous Kirschner wire internal fixation.The perioperative index levels,the fracture reduction index levels,the excellent and good rate of joint recovery and the complication rate were compared between the two groups.Results:The fracture healing time of the study group was shorter than the control group;the operation time and the hospital stay was longer than the control group,and the differences were statistically significant(P<0.05).There were no significant differences between the two groups in the ulna and radius height difference,radius ulnar deflection angle,and radius metacarpal inclination angle(P>0.05).The excellent and good rate of joint recovery in the study group was 88.89%,which was higher than 68.89%in the control group,and the difference was statistically significant(P<0.05).Further,the complication rate in the study group was 2.22%,which was lower than 15.56%in the control group,and the difference was statistically significant(P<0.05).Conclusions:Open reduction and internal fixation through the palmar approach in the treatment of distal radius fractures is superior to percutaneous Kirschner wire internal fixation in the terms of shortened fracture healing time,reduced incidence of complications,and improved joint recovery rate.However,the operation time and hospital stay are longer than those of percutaneous Kirschner wire internal fixation.

关 键 词：桡骨远端骨折 掌侧入路切开复位内固定 经皮克氏针内固定 骨折复位 骨折愈合 并发症 

分 类 号：R47[医药卫生—护理学]