摘要
目的通过比较分析两种固定方法治疗老年Colles骨折的临床疗效,为临床选择合适的固定方法提供理论参考。方法回顾性分析于2002年11月~2010年12月入住笔者所在医院采用两种固定方法治疗老年Colles骨折的147例患者的临床资料,将147例患者中的Ⅰ、Ⅱ和Ⅲ型骨折合为低能量骨折类型;将Ⅳ和Ⅴ型骨折患者合为高能量骨折类型。采用两种治疗方法,其中105例患者采用手法整复加小夹板外固定术,42例患者采用单臂外固定架（Bastiani）固定术。结果手法整复加小夹板外固定术治疗Col-les的低能量型与高能量型骨折的平均骨折愈合时间及近期疗效均优于单臂外固定架（Bastiani）固定术治疗组,但两种方法的低能量型与高能量型骨折的远期疗效均相差不大,差异不显著。单臂外固定架固定术患者出现皮肤感染症状,而手法整复加小夹板外固定术治疗组无皮肤感染病例。结论 两种老年Colles骨折的治疗方法各有其优势,比较而言,手法整复加小夹板固定术是老年人Colles骨折治疗的一种更加常用的、有效的治疗手段。
Objective To compare the analysis of two kinds of fixed methods for treating fractures in elderly Colles clinical efficacy, clinical select the appropriate fixing method to provide a theoretical reference.Methods A retrospective study in November 2002-2010 hospital stay in December fixation using two kinds of Colles fractures in elderly patients the clinical data of 147 patients, 147 patients in the Ⅰ, Ⅱ and Ⅲ fracture is lower aggregate type of fracture energy; will Ⅳ and Ⅴ type fractures were combined into high-energy fracture type. Treatment with 2, 105 patients were treated with Manipulation and Small splints surgery, 42 patients with unilateral external fixator （Bastiani） fixation. Results Manipulation and Small Colles splints in the treatment of low energy type and high-energy fractures of the average union time and the curative effect is better than unilateral external fixator （Bastiani） fixation in the treatment group, but the two methods Low energy type and high-energy fractures of the long-term efficacy are similar, the difference was not significant. Unilateral external fixation surgery in patients with symptoms of skin infection occur, and Manipulation plus small splints in the treatment group had no skin infections.Conclusion The two older Colles fracture methods have their advantages, in contrast, Manipulation plus small splint fixation treatment of fractures in the elderly Colles a more commonly used and effective treatment.
出处
《中外医学研究》
2011年第20期10-11,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
