手法复位小夹板固定治疗桡骨远端骨折临床分析.docVIP

手法复位小夹板固定治疗桡骨远端骨折临床分析 　　[摘要] 目的：探讨手法复位小夹板固定治疗桡骨远端骨折的临床效果。方法：150例桡骨远端骨折患者根据治疗方法的不同，分为治疗组75例，对照组75例，治疗组采用积极的手法复位小夹板固定治疗，对照组采用传统的切开复位内固定治疗。结果：治疗组的平均骨折愈合时间明显短于对照组，差异有统计学意义（P0.05）。经过治疗后，治疗组优良率为92.0%，对照组优良率为76.0%。治疗组优良率明显好于对照组，差异有统计学意义（P0.05）。治疗组的并发症发生率与严重程度都明显低于对照组（P0.05）。结论：手法复位小夹板固定桡骨远端骨折疗效好，愈合快，并发症少，值得推广应用。 　　[关键词] 手法复位；小夹板固定；桡骨远端骨折；疗效 　　[中图分类号] R683.4 [文献标识码] B [文章编号] 1674-4721（2012）01（a）-183-02 　　 　　Clinical analysis of manual reduction combined with splintage for treating distal radius fractures 　　XIA Zhijian 　　Chinese Medicine Hospital of Hengyang County, Hunan Province, Hengyang 421200, China 　　[Abstract] Objective: To investigate the clinical effects of manual reduction combined with splintage for treating distal radius fractures. Methods: One hundred and fifty cases of distal radius fractures were divided into the treatment group (75 cases) and the control group (75 cases), the treatment group were treated with manual reduction combined with splintage, the control group were given the traditional open reduction and internal fixation treatment. Results: The average healing time of the treatment group was significantly shorter than the control group (P0.05). The excellent efficacy rate of treatment group was 92.0%, that of control group was 76.0%, the difference was statistically significant(P 0.05). The incidence of complications and severity of the treatment group were significantly lower than the control group (P 0.05). Conclusion: Manual reduction combined with splintage for treating distal radius fractures has better excellent efficacy rate, faster healing and fewer complications, it should be widely applied. 　　[Key words] Manual reduction; Splintage; Distal radius fractures; Efficacy 　　 　　桡骨远端骨折常由高能量创伤引起，其骨折机制复杂，但是影响大，可导致关节面平整性的破坏，恢复其正常解剖结构是恢复正常功能的基础[1]。在手术治疗中，切开复位内固定常可以达到解剖复位，但可能需要广泛的组织创伤，并需要二次手术取内固定物，增加预后的不稳定[2]。笔者2009年12月～2010年12月对150例桡骨远端骨折患者采用手法复位小夹板固定治疗，取得了很好效果。现报道如下： 　　1 资料与方法 　　1.1 一般资料 　　选择2009年12月～2010年12月本院收治的150例桡骨远端骨折患者，均为新鲜骨折，均无