掌侧Henry入路治疗新鲜桡骨远端骨折术中附加透视拍摄侧斜位及腕背切线位X线片的效果研究  

Application effect of additional oblique and wrist back line X-ray in palmar and Henry approach surgery for fresh distal radius fractures

作　　者：高凯 王可 宋海朋 刘存干 陈春冉 李春广 Gao Kai;Wang Ke;Song Haipeng;Liu Cungan;Chen Chunran;Li Chunguang(Department of TraumaⅡ,Nanyang Traditional Chinese Medicine Hospital,Nanyang 473000,China;Department of Trauma and Bone Infection,Nanyang Traditional Chinese Medicine Hospital,Nanyang 473000,China;Department of Minimally Invasive Orthopedics,Nanyang Traditional Chinese Medicine Hospital,Nanyang 473000,China)

机构地区：[1]南阳市中医院创伤二科,南阳473000 [2]南阳市中医院创伤骨感染科,南阳473000 [3]南阳市中医院微创正骨科,南阳473000

出　　处：《中国实用医刊》2024年第21期10-14,共5页Chinese Journal of Practical Medicine

摘　　要：目的探讨掌侧Henry入路治疗新鲜桡骨远端骨折术中附加透视拍摄侧斜位及腕背切线位X线片的效果。方法前瞻性研究。抽取2019年7月至2023年6月南阳市中医院收治的新鲜桡骨远端骨折患者120例为研究对象,按照随机数字表法分为对照组和研究组,每组60例。两组患者均采用掌侧Henry入路进行治疗,研究组在此基础上联合术中附加透视拍摄侧斜位及腕背切线位X线片辅助治疗。比较两组治疗效果、术后关节活动能力(Gartland和Werley腕关节评分)、手术前后影像学指标(掌倾角和尺偏角)、手术前后关节活动度和术后背侧肌腱磨损发生情况。结果研究组治疗总有效率(96.67%,58/60)高于对照组(86.67%,52/60),P<0.05。术后1、2、3个月,两组Gartland和Werley腕关节评分均降低,且研究组Gartland和Werley腕关节评分低于对照组(P<0.05)。术后,两组掌倾角、尺偏角均改善,且研究组掌倾角、尺偏角小于对照组(P<0.05)。手术前后,两组腕关节活动度比较差异未见统计学意义(P>0.05)。术后1、2、3个月,研究组背侧肌腱的磨损发生率均低于对照组(P均<0.05)。结论掌侧Henry入路结合术术中附加透视拍摄侧斜位及腕背切线位X线片治疗新鲜桡骨远端骨折的效果明显,可较好的促进腕关节功能恢复。ObjectiveTo investigate the application effect of additional oblique and wrist back line X-ray in palmar and Henry approach surgery for fresh distal radius fractures.MethodsThis retrospective study was conducted on 120 patients with fresh distal radius fractures who were treated in Nanyang Traditional Chinese Medicine Hospital from July 2019 to June 2023.According to the random number table method,the selected patients were divided into a control group and a study group,with 60 cases in each group.Both groups received surgery through palmar and Henry approach,while the study group received additional oblique and wrist back line X-ray during surgery.The therapeutic effects,postoperative joint motion function assessed by Gartland and Werley score,preoperative and postoperative imaging indicators(palm angle and ulnar deflection angle),preoperative and postoperative wrist joint range of motion,and incidence of dorsal tendon injury were compared between the two groups.ResultsThe total effective rate of the study group(96.67%,58/60)was higher than that of the control group(86.67%,52/60),P<0.05.The Gartland and Werley scores of both groups decreased 1,2,and 3 months after surgery,moreover,the study group had lower scores than the control group(P<0.05).After surgery,the palm angle and ulnar deflection angle in both groups were improved,and the two indicators in the study group were smaller than those in the control group(P<0.05).There was no significant difference in rage of wrist motion between the two groups before and after surgery(P>0.05).The 1-,2-and 3-month postoperative incidence of dorsal tendon injury in the study group were lower than those in the control group(all P<0.05).ConclusionsPalmar and Henry approach surgery combined with additional oblique and wrist back line X-ray has obvious effect in the treatment of fresh distal radius fractures,and it can promote recovery of wrist joint function.

关 键 词：桡骨骨折 Henry入路 透视 腕关节功能 活动度 

分 类 号：R687.3[医药卫生—骨科学]