摘要
目的:通过对尺桡骨远端骨折手法整复结合夹板固定与石膏固定治疗进行临床疗效对比观察,探讨尺桡骨远端骨折手法整复夹板固定治疗的优势。方法:将患者180例随机分为A组、B组各90例,A组患者采用手法整复并夹板外固定,B组采用手法整复并石膏外固定。并对2组患者术前术后各项观察指标进行分析研究,比较2组患者的疗效。结果:2组患者复位后、复位后3天在桡骨相对高度、掌倾角及尺偏角参数上差异无统计学意义(P>0.05)。复位后7天,2组患者桡骨相对高度、掌倾角比较,差异有统计学意义(P<0.05)。尺偏角比较,差异无统计学意义(P>0.05)。临床愈合时,2组患者在桡骨相对高度、掌倾角及尺偏角参数上差异有统计学意义(P<0.05)。2组骨折愈合2月后Garland-Werley功能评分比较,差异有统计学意义(P<0.05)。结论:尺桡骨远端骨折手法整复后夹板固定在影像学参数及腕关节功能恢复上均优于石膏固定。
Objective：Based on the comparative observation on the clinical effect of splint fixation and plaster fixation for distal part of radius and ulnar fracture after manipulative reduction,to discuss the advantage of the therapy of splint fixation for distal part of radius and ulnar fracture after manipulative reduction. Methods：Divided 180 cases of patients into group A and group B,90 cases in each group. Patients in group A were treated with manipulative reduction and splint fixation,while patients in group B were treated with manipulative reduction and plaster fixation. Conducted an analytic study on preoperative and postoperative observation indexes, and compared the curative effect in both groups. Results：No significant difference was found in the relative radial height,volar tilting angle and ulnar inclination in two groups after reduction and 3 days after reduction（P 〉 0.05）. When 7 days after reduction,compared the relative radial height and the volar tilting angle in two groups,differences were significant（P 〈 0.05）,but no significant difference was found in the comparison of ulnar inclination（P 〉 0.05）. During clinical healing,the relative radial height,volar tilting angle and ulnar inclination in both groups showed significance in differences（P 〈 0.05）. Compared Garland-Werley functional scores in both groups after healing for 2 months,the differences were significant（P 〈 0.05）. Conclusion：The therapy of splint fixation for distal part of radius and ulnar fracture after manipulative reduction is superior to the therapy of plaster fixation in terms of radiographic parameters and the recovery of wrist joint function.
出处
《新中医》
CAS
2017年第2期69-71,共3页
New Chinese Medicine
关键词
尺桡骨远端骨折
手法整复
夹板固定
石膏固定
Distal part of radius and ulnar fracture
Manipulative reduction
Splint fixation
Plaster fixation
