摘要
目的 分析掌侧加桡侧接骨板固定治疗对桡骨远端粉碎性骨折患者桡骨形态及腕关节功能的影响。方法 选取2021年3月-2024年2月我院诊治的60例桡骨远端粉碎性骨折患者为研究对象,采用随机数字表法分为对照组和观察组,各组30例。对照组采用掌侧接骨板固定治疗,观察组采用掌侧加桡侧接骨板固定治疗,对比两组临床疗效、临床手术指标、疼痛程度(VAS评分)、桡骨形态指标(掌倾角、尺偏角、桡骨高度)、腕关节功能(Gartland-Werley评分与PRWE评分)、并发症发生率。结果 观察组优良率(80.00%)高于对照组(66.67%)(P<0.05);观察组手术时间长于对照组,术中出血量大于对照组,骨折愈合时间短于对照组(P<0.05);观察组术后2 h的VAS评分与对照组比较,差异无统计学意义(P>0.05),而观察组术后12、24 h的VAS评分均低于对照组(P<0.05);两组术后掌倾角、尺偏角、桡骨高度均大于术前,且观察组大于对照组(P<0.05);两组术后GartlandWerley评分、PRWE评分均低于术前,且观察组低于对照组(P<0.05);观察组并发症发生率(6.67%)低于对照组(20.00%)(P<0.05)。结论 掌侧加桡侧接骨板固定治疗桡骨远端粉碎性骨折可促进桡骨形态改善,预防并发症,促进腕关节功能恢复,提高治疗优良率,缩短骨折愈合时间,减轻患者疼痛度,值得临床加以应用。
Objective To analyze the effect of volar and radial plate fixation on radius morphology and wrist function in patients with comminuted distal radius fracture.Methods From March 2021 to February 2024,60 patients with comminuted distal radius fracture treated in our hospital were selected as the research objects.They were divided into control group and observation group by random number table method,with 30 patients in each group.The control group was treated with volar plate fixation,and the observation group was treated with volar and radial plate fixation.The clinical efficacy,clinical operation index,pain degree(VAS score),radial morphology index(volar tilt,ulnar inclination,radial height),wrist function(Gartland-Werley score and PRWE score)and complication rate were compared between the two groups.Results The excellent and good rate in the observation group(80.00%)was higher than that in the control group(66.67%)(P<0.05).The operation time of the observation group was longer than that of the control group,the intraoperative blood loss was greater than that of the control group,and the fracture healing time was shorter than that of the control group(P<0.05).There was no significant difference in VAS score between the observation group and the control group at 2 h after operation(P>0.05),while the VAS score of the observation group at 12 and 24 h after operation was lower than that of the control group(P<0.05).The postoperative volar tilt,ulnar inclination and radial height of the two groups were greater than those before operation,and those of the observation group were greater than those of the control group(P<0.05).The Gartland-Werley score and PRWE score of the two groups after operation were lower than those before operation,and those of the observation group were lower than those of the control group(P<0.05).The incidence of complications in the observation group(6.67%)was lower than that in the control group(20.00%)(P<0.05).Conclusion The treatment of comminuted distal radius fracture with volar and radial plate fixation can promote the improvement of radius morphology,prevent complications,promote the recovery of wrist function,improve the excellent and good rate of treatment,shorten the healing time of fractures,and reduce the pain of patients.It is worthy of clinical application.
作者
刘家书
LIU Jiashu(Emergency Department of Hengfeng County People′s Hospital,Hengfeng 334300,Jiangxi,China)
出处
《医学信息》
2025年第24期152-156,共5页
Journal of Medical Information
