桡骨远端骨折合并尺骨茎突骨折对术后腕关节功能的影响研究  

Effect of Distal Radius Fracture Combined With Ulnar Styloid Fracture on Postoperative Wrist Function

作　　者：李展添 王国亮[1] 郭大强 陈斌 刘伟鑫 LI Zhantian;WANG Guoliang;GUO Daqiang;CHEN Bin;LIU Weixin(Department of surgery,Guangzhou development zone hospital,Guangzhou,Guangdong 510735)

机构地区：[1]广州开发区医院外科,广东广州510735

出　　处：《中国伤残医学》2024年第6期81-85,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨桡骨远端骨折合并尺骨茎突骨折对术后腕关节功能的影响,分析手术方法和不同术后康复方案对腕关节功能恢复的影响,为临床治疗提供参考依据,以期改善患者的生活质量.方法:选取我院2018年6月-2021年9月收治的46例桡骨远端骨折患者为研究对象,按照随机数字表法分为2组.将其中23例未伴随尺骨茎突骨折的患者设为对照组,23例伴随尺骨茎突骨折的患者设为试验组.对比2组桡骨复位愈合情况及腕关节功能.结果:2组患者桡骨复位愈合情况与Gartland-Werley腕关节评分、臂肩手功能障碍评分对比,组间差异无统计学意义(P>0.05);试验组优良率为86.96%,高于对照组的73.91%,疼痛发生率为13.04%,低于对照组的39.13%,组间差异有统计学意义(P<0.05).结论:对于桡骨远端骨折合并尺骨茎突骨折患者,采取切开复位内固定手术后,即便不对尺骨茎突骨折患者采取内固定处理,也不会对其远期腕关节功能产生不良影响,但能够显著降低腕尺偏疼痛发生率.Objective:To investigate the effects of distal radius fracture combined with ulna styloid fracture on postoperative wrist function,and analyze the effects of surgical methods and different postoperative rehabilitation programs on the recovery of wrist func-tion,so as to provide reference for clinical treatment,with a view to improving the quality of life of patients.Methods:Forty-six pa-tients with distal radius fracture admitted to our hospital from June 2018 to September 2021 were selected as the study objects and di-vided into 2 groups according to random number table method.Among them,23 patients without ulnar styloid fracture were set as con-trol group,and 23 patients with ulnar styloid fracture were set as experimental group.The reduction and healing of radius and wrist joint function were compared between the two groups.Results:There were no significant differences between the two groups in radial reduc-tion and healing,Gartland-Werley wrist score and arm-shoulder and hand dysfunction score(P>0.05);the excellent and good rate of the experimental group was 86.96%,higher than 73.91%of the control group,and the incidence of pain was 13.04%,lower than 39.13%of the control group,with statistical significance(P<0.05).Conclusion:For patients with distal radius fracture combined with ulnar styloid fracture,open reduction and internal fixation will not adversely affect the long-term wrist function of patients with ulnar styloid fracture,but can significantly reduce the incidence of hemicarpus ulnar pain.

关 键 词：桡骨远端骨折 尺骨茎突骨折 术后 腕关节功能 

分 类 号：R683[医药卫生—骨科学]