手术治疗桡骨远端c型骨折的预后影响因素研究-study on prognostic factors of surgical treatment of type c fracture of distal radius.docxVIP

结论其中年龄65岁术后疗效优于年龄≥65岁、早期手术治疗(7d内)等有益于术后腕关节功能恢复（OR1）;而术前有合并症及不良活方式包括高血压、糖尿病、慢性骨关节疾病吸烟、单独居住、长期吸烟阻碍术后功能康复（OR1）；手术方式择锁定加压钢板(LCP)内固定稍优于外固定组（OR≈1）。【关键词】桡骨远端C型骨折；锁定加压钢板；外固定；影响因素ABSTRACTObjective:Toexploretheclinicalrelativefactorsonthetherapeuticeffectofwristjointfunctioninpatientswithtype-Cfracturesofdistalradiustreatedwithoperation.Makeanearlyandaccuratepredictionoftype-Cdistalradiusfracturesthengivingtheappropriateinterventionstopromoterecoveryfunctionofwristjoint.Methods:Thisarticleadoptretrospectivecase-controlstudy,retrospectivecase-controlstudy,casesselectedfromtheGuangzhouMedicalCollege,GuangzhouFirstPeoplesHospitalofOrthopedicsJanuary2010~December2011period,duetotype-Cdistalradiusfracturesinhospitalizedpatients,16variableswereinvestigatedincludingage,sex,avarietyofmedicaldiseasesandthedailylifestyleandhabits，operationprogramsetc.MakingGartlandandWerleyScoreofwristjcintfunctionastheoutcomevariable,thefollowingwereassessed：thepostoperativeefficacyatthefollow-up.theuseofSPSS16.0Editionsoftwarepackage,usingchi-squaretest,ANOVA,binarylogisticregressionanalysismethod,comparativeanalysisofcaseandcontrolgroups,identificationandtestingtherelationshipbetweenthesefactorsandtype-CdistalradiusfracturesResults:Inthisstudy,80patientsmettheinclusionwerecollected.Thefollow-uptime~2.5to15months(meanfollow-up8.7months).TheresultofGartlandandWerleyScore:42patientswereexcellent,good27,fair6,andpoor5;theexcellentandgoodratewas86.25%.Afterthecasegroupandcontrolgroupchi-squaretestandANOVAshowedthatthereare11significantfactorsoftheincidenceoftype-Cdistalradiusfractures,includingage,hypertension,diabetes,cerebrovasculardisease,chronicboneandjointdisease,andlivealone,smoking,oftendrinkmilk,timefrominjurytooperation,methodsoffixation,timeoftrainingafteroperation.UsingSPSS16.0package,theabovefactorsbylogisticregressionanalysisselectedeightmainfactorsincludingage（65years/≥65years）,timefrominjurytooperation（7d/≥7d）,hypertension,diabetes,chronicboneandjointdisease,livealone,smokingandmethodsoffi