两种不同方法治疗桡骨远端骨折比较分析.docVIP

两种不同方法治疗桡骨远端骨折的比较分析 　　[摘要] 目的 应用骨折AO分型，比较两种桡骨远端骨折治疗方法的疗效。 方法 选取2009年1月～2012年9月收治85例桡骨远端骨折患者，将其分为保守组（采用闭合复位石膏或夹板外固定治疗）和手术组（切开复位锁定钢板内固定治疗），通过X线测量掌倾角、尺偏角，比较两组患者的Cooney评分和DASH评分。 结果 85例骨折全部愈合。Cooney评分保守组优良率72%，手术组优良率88.6%。DASH评分保守组12.6分；手术组5.5分。两组Cooney评分间差异无统计学意义（P0.05），DASH评分间差异有统计学意义（P0.05）。两组在C型骨折的治疗中差异有统计学意义（P0.05），手术治疗优于保守治疗。 结论 桡骨远端骨折应根据骨折分型采用不同方法治疗，C型骨折手术治疗疗效优于保守治疗。 　　[关键词] 桡骨远端骨折；AO分型；内固定；手法复位 　　[中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701（2015）25-0047-04 　　Comparison between two kinds of treatment for distal fracture of radius 　　QIAO Xiaoguang ZHANG Xuehua CAO Yu FAN Tao SUN Guiyao WANG Guibin 　　Department of Orthopaedics，Shuangqiao Hospital in Chaoyang District of Beijing，Beijing 100121，China 　　[Abstract] Objective To apply AO classification to the comparison between two kinds of treatment suffering from distal fracture of radius. Methods From January 2009 to September 2012， 85 patients suffering from distal fracture of radius were divided into two groups， which were respectively treated with internal reduction and manual reduction. By measuring volar tilting angle and ulnar inclination with X ray， the outcomes were observed； and the result was presented through the Cooney score system and the DASH score system. Results All of the 85 patients suffering from distal fracture of radius were recovered. According to the Cooney score， the non-operation group’s excellent rate was 72%， while the one for the operation group was 88.6%. According to the DASH score， the non-operation group scores 12.6； in the meantime， the operation group scores 5.5. According to the Cooney score， there was no statistical difference between the outcomes（P0.05）； on the other hand， with statistical difference between them（P0.05）， according to the DASH score. The difference between the outcomes for distal fracture of radius（Type C） was statistically significant（P0.05）. Internal fixation is superior to Manual reduction. Conclusion Patients suffering from distal fracture of radius should