摘要
目的:探讨桡骨远端骨折患者手术切开复位"T"型钢板内固定的治疗效果。方法:采用"T"型钢板内固定治疗桡骨远端骨折40例(观察组),并随机选择同期采用闭合复位夹板外固定治疗的患者40例,比较两组术前和治疗后3个月掌倾角、尺偏角及桡骨轴向缩短移位等指标,治疗后1年的临床疗效。结果:两组治疗后掌倾角、尺偏角及桡骨轴向缩短移位等指标均明显好转,但是观察组恢复更好(P<0.05);治疗1年后,观察组治疗优良率为85.00%,明显高于对照组的50.00%(P<0.01)。结论:手术切开"T"形钢板内固定治疗桡骨远端骨折,更有利于患者腕关节结构和功能的恢复,临床效果好,值得临床推广应用。
Objective ：To observe the effect of distal radius fractures patients with open reduction and ＂ T＂ plate fixed treatment. Methods：40 cases of distal radius fractures used ＂ T＂ plate fixation in observation group ,40 patients with closed reduction and external fixation splint treatment were randomly selected. Palmar angle, ulnar deviation and radial displacement axial shortening were compared before and 3 months after treatment, the clinical efficacy after treatment for 1 year was observed in the two groups. Results ： The palm angle, ulnar deviation and radial displacement axial shortening were significantly improved after treament in the two groups of patients, and the clinical efficacy was better in observation group（P 〈0, 05）. The patients＇cure rate in observation group was 85.00%, significantly higher than the control group with 50.00% （ P 〈 0. 01 ）. Conclusion ： Distal radius fractures patients with open reduction and ＂T＂ plate fixed treatment is conducive to the structure and function with wrist recovery, and it is worthy of clinical application.
关键词
桡骨远端骨折
手术治疗
闭合复位
fracture of distal radius
surgery
closed reduction
