摘要
目的分析微创腕关节镜辅助下治疗桡骨远端关节内粉碎性骨折的临床疗效。方法 2015年7月—2017年8月郑州市骨科医院收治60例桡骨远端关节内粉碎性骨折患者,按随机数字表法分为腕关节组和传统手术组,每组各30例。其中腕关节镜组男性12例,女性18例;年龄31～62岁,平均46.6岁;传统手术组男性11例,女性19例;年龄29～64,平均45.9岁。腕关节镜组采用微创腕关节镜辅助下复位治疗,传统手术组行传统直视下手术治疗。观察比较两组患者治疗效果、并发症发生率,治疗后VAS评分、Gartland-Werley腕关节功能评分及术后腕关节活动度情况。结果腕关节镜组总有效率90.00%;传统手术组总有效率66.67%。腕关节镜组总有效率明显优于传统手术组,差异有统计学意义(P<0.05);两组治疗后腕关节镜组并发症总发生率10.00%明显低于传统手术组46.67%,差异有统计学意义(P<0.05)。经治疗两组患者Gartland-Werley腕关节功能评分和VAS评分均显著下降;腕关节镜组治疗后Gartland-Werley腕关节功能评分(5.12±1.53)分、VAS评分(2.01±0.88)分明显低于传统手术组(8.97±1.35)分、(3.97±1.07)分,差异有统计学意义(P<0.05)。治疗后腕关节镜组腕关节活动度的测定指标包括掌屈、背伸、桡偏、尺偏、旋前、旋后角度均显著高于传统手术组(P<0.05)。结论微创腕关节镜辅助下治疗桡骨远端关节内粉碎性骨折安全有效,对患者腕关节的功能恢复具有积极意义。
Objective To analyze the clinical efficacy of minimally invasive wrist arthroscopy in the treatment of comminuted fractures of the distal radius.Methods From Jul.2015 to Aug.2017,60 patients with comminuted intra-articular fractures of the distal radius were enrolled in Zhengzhou Orthopaedic Hospital.They were divided into two groups according to the random number table,with 30 in each group.There were 12 males and 18 females in the wrist arthroscopy group,with an average age of(46.57±8.43)years.There were 11 males and 19 females in the traditional surgery group,with an average age of(45.92±9.25)years.The wrist arthroscopy group was treated with minimally invasive wrist arthroscopy and the traditional surgery group underwent conventional direct vision surgery.The therapeutic effect and complication rate of the two groups were observed and compared.The pain VAS score,Gartland-Werley wrist function score and postoperative adverse reactions were compared between the two groups.Results The total effective rate of the wrist arthroscopy group was 90.00%;the total effective rate of the traditional surgery group was 66.67%.The total effective rate of the wrist arthroscopy group was significantly better than that of the traditional operation group(P<0.05).The total incidence of complications in the wrist arthroscopy group after treatment was 10.00%,which was significantly lower than that of the traditional operation group(46.67%),with statistical significance(P<0.05).Gartland-Werley wrist function scores and VAS scores were significantly decreased in both groups after treatment;Gartland-Werley wrist function scores(5.12±1.53)and VAS scores(2.01±0.88)were significantly lower in the wrist arthroscopy group than in the traditional operation group((8.97±1.35),(3.97±1.07)),and the difference was statistically significant(P<0.05).The measured indexes of wrist joint mobility in the wrist arthroscopy group including palmar flexion,back extension,sacral deviation,ulnar deviation,pronation and supination angles were significa
作者
窦邦现
李红卫
白晨平
李大为
王智茹
DOU Bang-xian;LI Hong-wei;BAI Chen-ping;LI Da-wei;WANG Zhi-ru(Orthopedics Hospital of Zhengzhou,Zhengzhou 450003,China)
出处
《创伤外科杂志》
2019年第3期210-213,共4页
Journal of Traumatic Surgery
关键词
桡骨远端骨折
腕关节镜
微创
distal radius fracture
wrist arthroscopy
mini-invasive surgery
