桡骨远端粉碎性骨折的小夹板与支架外固定治疗的临床疗效比较(1)
[摘要] 目的 比较小夹板固定和支架外固定治疗桡骨远端粉碎性骨折患者的临床疗效。 方法 选取2012年1月～2013年6月来我院进行诊治的56例桡骨远端粉碎性骨折患者，随机分为小夹板固定组和支架外固定组，按分组进行相应的固定治疗方法，出院后对两组患者随访，随访过程进行复位和功能评价，并对患者的并发症进行统计和处理。 结果 治疗后随访3～21个月，平均14.1个月。小夹板固定组患者疗效评价优良15例，优良率为53.6%(15/28)；支架外固定组患者优良24例，优良率为85.7%(24/28)，支架外固定组患者疗效优良例数明显多于小夹板固定组，两组患者优良率相比，差异具有统计学意义(P<0.05)；两组患者均有一定的并发症发生，经过相应的治疗后，症状均逐步缓解、消除。 结论 治疗桡骨远端粉碎性骨折患者，需要解决和重视的问题是如何保持复位后骨折的稳定性。支架外固定方法在维持复位和恢复功能方面明显优于小夹板固定，值得临床上进一步研究。
[关键词] 桡骨远端粉碎性骨折；小夹板外固定；支架外固定
, 百拇医药
[中图分类号] R683.41 [文献标识码] B [文章编号] 2095-0616(2015)18-170-03
[Abstract] Objective To compare the clinical effect of small splint and external fixator immobilization in the treatment of distal radius comminuted fracture. Methods 56 patients with distal radius comminuted fracture， who were diagnosed and treated in our hospital from January 2012 to June 2013， were selected and were randomly divided into small splint fixation group and external fixator immobilization group. To treated the two groups according to corresponding fixation methods， to make reduction and function evaluation during the follow-up process of the two groups after discharge， to make statistics and dispose the patients' complication. Results To follow-up 3-21 months with the average follow-up time of 14.1 months. The excellent efficacy evaluation in small splint fixation group(15 cases) with the excellent and good rate of 53.6%(15/28)， while which in external fixator immobilization group(24 cases) with the excellent and good rate of 85.7%(24/28)， the differences were statically significant(P<0.05). The complication had occurred in the two groups， the symptoms of which were remission and elimination progressively. Conclusion The problem of how to keep the stability of fracture after reduction on the treatment of distal radius comminuted fracture should be solved and be attention. External fixator immobilization is obviously better on reductive maintenance and recovery function compared with which of small splint fixation， is worthy of further clinical study.
, 百拇医药
[Key words] Distal radius comminuted fracture； Small splint fixation； External fixator immobilization
桡骨远端粉碎性骨折是一种常见的上肢骨折，患者的临床表现症状为腕部肿胀、压痛明显，手和腕关节功能活动受到限制，在治疗中最需要解决和重视的问题是如何保持复位后骨折的稳定性[1]，通过X线可明确诊断骨折类型，并根据具体骨折情况进行治疗，需要时可辅以克氏针、螺丝钉或T形钢板内固定等[2-3]。本文主要研究小夹板固定和支架外固定治疗桡骨远端粉碎性骨折患者的临床疗效。
1 资料与方法
1.1 一般资料
选取2012年1月～2013年6月来我院进行诊治的56例桡骨远端粉碎性骨折患者，男40例，女16例，年龄16～59岁，平均(39.8±10.7)岁；左侧伤25例，右侧伤31例；按命名分类：Colles骨折39例，Smith骨折14例，掌侧Barton骨折3例；按AO分类：C1型6例，C2型16例，C3型34例。随机分为两组，即小夹板固定组和支架外固定组，每组28例患者，本次研究经医院伦理委员会通过，两组患者一般资料在性别、年龄、骨折类型等方面相比无统计学差异(P>0.05)，具有可比性，见表1。, 百拇医药(任定宝 王恩斌 苏明华等)
[关键词] 桡骨远端粉碎性骨折；小夹板外固定；支架外固定
, 百拇医药
[中图分类号] R683.41 [文献标识码] B [文章编号] 2095-0616(2015)18-170-03
[Abstract] Objective To compare the clinical effect of small splint and external fixator immobilization in the treatment of distal radius comminuted fracture. Methods 56 patients with distal radius comminuted fracture， who were diagnosed and treated in our hospital from January 2012 to June 2013， were selected and were randomly divided into small splint fixation group and external fixator immobilization group. To treated the two groups according to corresponding fixation methods， to make reduction and function evaluation during the follow-up process of the two groups after discharge， to make statistics and dispose the patients' complication. Results To follow-up 3-21 months with the average follow-up time of 14.1 months. The excellent efficacy evaluation in small splint fixation group(15 cases) with the excellent and good rate of 53.6%(15/28)， while which in external fixator immobilization group(24 cases) with the excellent and good rate of 85.7%(24/28)， the differences were statically significant(P<0.05). The complication had occurred in the two groups， the symptoms of which were remission and elimination progressively. Conclusion The problem of how to keep the stability of fracture after reduction on the treatment of distal radius comminuted fracture should be solved and be attention. External fixator immobilization is obviously better on reductive maintenance and recovery function compared with which of small splint fixation， is worthy of further clinical study.
, 百拇医药
[Key words] Distal radius comminuted fracture； Small splint fixation； External fixator immobilization
桡骨远端粉碎性骨折是一种常见的上肢骨折，患者的临床表现症状为腕部肿胀、压痛明显，手和腕关节功能活动受到限制，在治疗中最需要解决和重视的问题是如何保持复位后骨折的稳定性[1]，通过X线可明确诊断骨折类型，并根据具体骨折情况进行治疗，需要时可辅以克氏针、螺丝钉或T形钢板内固定等[2-3]。本文主要研究小夹板固定和支架外固定治疗桡骨远端粉碎性骨折患者的临床疗效。
1 资料与方法
1.1 一般资料
选取2012年1月～2013年6月来我院进行诊治的56例桡骨远端粉碎性骨折患者，男40例，女16例，年龄16～59岁，平均(39.8±10.7)岁；左侧伤25例，右侧伤31例；按命名分类：Colles骨折39例，Smith骨折14例，掌侧Barton骨折3例；按AO分类：C1型6例，C2型16例，C3型34例。随机分为两组，即小夹板固定组和支架外固定组，每组28例患者，本次研究经医院伦理委员会通过，两组患者一般资料在性别、年龄、骨折类型等方面相比无统计学差异(P>0.05)，具有可比性，见表1。, 百拇医药(任定宝 王恩斌 苏明华等)