改良经皮穿针技术在桡骨远端骨折治疗中的应用效果  

The Application Effect of Improved Percutaneous Pinning Technique in the Treatment of Distal Radial Fractures

作　　者：孙磊 SUN Lei(Department of Trauma Orthopedics,Wendeng Orthopedic Hospital,Weihai Shandong 264400,China)

机构地区：[1]山东省文登整骨医院创伤整复一科,山东威海264400

出　　处：《临床研究》2024年第7期82-85,共4页Clinical Research

摘　　要：目的研究并分析改良经皮穿针技术在桡骨远端骨折患者临床治疗中的应用效果。方法纳入2020年1月至2023年1月山东省文登整骨医院收治的110例桡骨远端骨折患者,按治疗方法不同分成两组,每组患者55例。对照组采用Henry入路掌侧T型钢板内固定治疗,观察组采用改良经皮穿针内固定方法治疗。对两组患者的术后围手术期指标及骨折愈合时间、术后8~12周影像学参数、末次随访时腕关节功能进行逐项对比。结果观察组患者手术时间、水肿消退时间、骨折愈合时间短于对照组,术中出血量少于对照组,VAS评分低于对照组,差异均有统计学意义(P<0.05);观察组术后8~12周影像学参数与对照组相比,差异无统计学意义(P>0.05);观察组末次随访腕关节功能恢复效果优于对照组,差异具有统计学意义(P<0.05)。结论改良经皮穿针技术在桡骨远端骨折的治疗中较切开复位钢板内固定治疗的方式优势明显,可在临床上应用。Objective To study and analyze the application effect of the improved percutaneous pinning technique in the clinical treatment of patients with distal radial fractures.Methods From January 2020 to January 2023,110 patients with distal radial fractures admitted to Wendeng Orthopedic Hospital in Shandong Province were included.They were divided into two groups according to different treatment methods,with 55 patients in each group.The control group was treated with Henry approach volar T-plate internal fixation,and the observation group was treated with the improved percutaneous pinning internal fixation method.The perioperative indicators,fracture healing time,radiological parameters at 8~12 weeks postoperatively,and wrist joint function at the last follow-up of the two groups of patients were compared item by item.Results The operation time,swelling subsidence time,and fracture healing time of the observation group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the VAS score was lower than that of the control group,all differences were statistically significant(P<0.05);there was no statistically significant difference in the radiological parameters at 8~12 weeks postoperatively between the observation group and the control group(P>0.05);the recovery effect of wrist joint function at the last follow-up of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).Conclusion The improved percutaneous pinning technique has obvious advantages in the treatment of distal radial fractures compared with the open reduction and plate internal fixation treatment method,and can be applied in clinical practice.

关 键 词：桡骨远端骨折 闭合复位 改良经皮穿针技术 

分 类 号：R274.1[医药卫生—中医骨伤科学]