摘要
目的探讨改良Henry入路保留旋前方肌治疗桡骨远端骨折患者的效果及对患者术后腕关节功能的影响。方法选取2019年1月至2022年6月的扬州大学第四临床医学院的80例桡骨远端骨折患者为研究对象,采用随机数字表法将其分为对照组(40例)和试验组(40例),对照组患者采用常规手术方案治疗,试验组采用改良Henry入路保留旋前方肌方案治疗。比较两组患者的临床治疗效果,术后2、4、8周后的腕关节功能,术后2、4、8周后的疼痛程度,两组患者术后的并发症。结果试验组患者治疗后的优良率高于对照组,差异有统计学意义(P<0.05);整体分析结果显示,两组患者的腕部综合功能评定(PRWE)评分和视觉模拟评分法(VAS)评分时间、组间、交互作用比较,差异有统计学意义(P<0.01)。组内比较结果显示:两组术后2、4、8周PREW评分和VAS评分低于对照组,差异有统计学意义(P<0.05)。组间比较结果显示:试验组术后2、4周PRWE评分低于对照组,差异有统计学意义(P<0.05);两组术后8周PRWE评分比较,差异无统计学意义(P>0.05);试验组术后2周VAS评分低于对照组,差异有统计学意义(P<0.05);两组术后4、8周VAS评分比较,差异无统计学意义(P>0.05);试验组患者术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论改良Henry入路保留旋前方肌治疗桡骨远端骨折临床疗效显著,有助于改善患者临床症状,促进腕关节功能恢复,且并发症少,值得临床推广应用。
Objective To investigate the effect of reserving pronator muscle through modified Henry approach in the treatment of distal radius fracture and its influence on wrist joint function.Methods From January 2019 to June 2022,80 patients with distal radius fracture from the Fourth Clinical Medical College of Yangzhou University were selected as the research objects.They were randomly divided into the control group(40 cases)and the experimental group(40 cases)by the random number table method.The patients in the control group were treated with conventional surgical procedures,and the patients in the experimental group were treated with the modified Henry approach to preserve the pronator muscle.The clinical treatment effect,wrist function 2,4 and 8 weeks after operation,pain degree 2,4 and 8 weeks after operation,and postoperative complications of the two groups were compared.Results The excellent and good rate of patients in the experimental group after treatment was higher than that in the control group,the difference was statistically significant(P<0.05).The results of the overall analysis showed that there were statistically significant differences between the two groups in the scores of wrist comprehensive function evaluation(PRWE)and visual analogue score(VAS)in terms of scoring time,inter-group and interaction(P<0.01).The results of intra-group comparison showed that the PREW score and VAS score of the two groups were lower than those of the control group at 2,4 and 8 weeks after operation(P<0.05).The results of inter-group comparison showed that the PRWE scores of the experimental group were lower than those of the control group at 2 and 4 weeks after operation,and the differences were statistically significant(P<0.05).There was no significant difference in PRWE scores between the two groups at 8 weeks after operation(P>0.05).The VAS score of the experimental group was lower than that of the control group at 2 weeks after operation,and the difference was statistically significant(P<0.05).There was no significan
作者
黄小磊
陈丹华
HUANG Xiaolei;CHEN Danhua(Department of Orthopedics,the Fourth Clinical Medical College of Yangzhou University,Jiangsu Province,Nantong226010,China)
出处
《中国当代医药》
CAS
2023年第14期81-84,共4页
China Modern Medicine
关键词
改良Henry入路保留旋前方肌
桡骨远端骨折
腕关节功能
并发症
Modified Henry approach to preserve pronator anterior muscle
Distal radius fracture
Wrist joint function
Complications
