不同因素对桡骨远端骨折患者术后预后影响研究.docVIP

不同因素对桡骨远端骨折患者术后预后的影响研究 　　doi：10.3969/j.issn.1007-614x.2014.22.28 　　摘要目的：研究不同因素对桡骨远端骨折患者术后预后的影响。方法：2009年1月-2013年1月收治桡骨远端骨折患者124例，应用锁定加压钢板内固定术73例，克氏针加外固定架2例，T形钢板48例，克氏钉1例。所有患者随访6～48个月，应用Cooney腕关节评分及影像学评分手段评价手术疗效，并对影响术后预后的不同因素进行单因素和多因素Logistic分析。结果：Cooney腕关节评分优100例，良23例，可1例，优良率99.19%；影像学评分中优72例，良44例，可6例，差2例，优良率93.55%。Cooney腕关节评分经单因素及Logistic分析认为骨折分型与骨折复位为显著影响因素（P0.05）。Batra影像学评分经单因素及Logistic分析认为年龄为显著影响因素（P0.05）。结论：骨折分型可对术后腕功能活动产生影响，年龄是术后预后影像学评分的影响因素。 　　关键词不同因素；桡骨远端骨折；预后影响因素；分析 　　Study on the effect of different factors on the postoperative prognosis of patients with distal radius fracture 　　Deng Jichang 　　Department of Orthopedics，the People’s Hospital of Chenxi County，Hunan 419500 　　AbstractObjective：To study the effect of different factors on the postoperative prognosis of patients with distal radius fracture. Methods：124 cases with distal radius fracture were selected from January 2009 to January 2013.73 cases were treated with locking compression plate fixation.2 cases were treated with kirschner wire and external fixation.48 cases were treated with T shaped steel plate.1 case was treated with kirschner wire.All cases were followed up for 6～48 months.The operation curative effect was evaluated by Cooney wrist score and imaging score mean.The different factors on the postoperative outcome were analyzed by univariate and multivariate Logistic regression analysis.Results：In the Cooney wrist score，100 cases were excellent；23 cases were good；1 case was ok；the excellent and good rate was 99.19%.In the imaging score，72 cases were excellent；44 cases were good；6 cases was ok；1 case was bad；the excellent and good rate was 93.55%.The Cooney wrist score was analyzed by univariate and Logistic analysis.and it considered that the fracture classification and fracture reduction were the significant effect factors（P0.05）.The Batra imaging score was analyzed by univariate and Logistic analysis，and it considered that age was an important factor（P0.05）.Conclusion：The fracture