摘要
目的探讨桡骨远端骨折手术与非手术治疗的临床效果以及影像学改变，为临床选择合适的治疗方法提供理论依据。方法回顾性分析60例桡骨骨折患者的临床资料，分析治疗前后的关节功能及影像学改变。结果术后4周时，手术组的Jakim评分结果高于非手术组患者（P〈0．05）。治疗后2～24周，手术组患者的掌倾角、尺偏角、桡骨高度均显著大于非手术组患者（P〈0．05或P〈0．01）。结论手术治疗能够达到较好的解剖复位，但对于老年患者，手法复位达到的功能恢复效果与手术治疗相似。
Objective To discuss clinical efficacy of operation and non-operational treatment for fracture of distal ra- dius. Methods Retrospectively analyze clinical data of 60 cases with fracture of distal radius. Results Four weeks after treatment, Jakim score of operational group was higher than non-operational group （P 〈 0.05）. From 2 to 12 weeks after treatment, palmar tilt, radial inclination, radial height of operational group were larger than non-operational group （P 〈 0.05 or P 〈 0.01 ）. Conclusion Operational treatment for fracture of distal radius shows better anatomical reduction. But for senior patients, non-operational treatment can get same clinical efficacy with operational treatment.
出处
《中国现代医生》
2013年第18期42-44,47,共4页
China Modern Doctor
基金
浙江省中医(中西医结合)单病种诊疗规范研究计划(2009GA007)
浙江省中医药重点专科建设资助项目(2012-XK-D03)
关键词
桡骨远端骨折
手术治疗
非手术治疗
Fracture of distal radius
Operational treatment
Non-operational treatment
