[1]万春根,殷伟根,何丽波,等.腕桡侧入路掌侧锁定钢板内固定治疗桡骨远端骨折的效果[J].医学信息,2019,32(24):121-122.[doi:10.3969/j.issn.1006-1959.2019.24.043]
　WAN Chun-gen,YIN Wei-gen,HE Li-bo,et al.Effect of Carpal Radial Approach with Palmar Locking Plate Internal Fixation on Distal Radius Fractures[J].Medical Information,2019,32(24):121-122.[doi:10.3969/j.issn.1006-1959.2019.24.043]
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腕桡侧入路掌侧锁定钢板内固定治疗桡骨远端骨折的效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年24期
页码:
121-122
栏目:
临床研究
出版日期:
2019-12-15

文章信息/Info

Title:
Effect of Carpal Radial Approach with Palmar Locking Plate Internal Fixation on Distal Radius Fractures
文章编号:
1006-1959（2019）24-0121-02
作者:
万春根; 殷伟根; 何丽波; 奚伟伟
（江西省鹰潭市余江区人民医院，江西 鹰潭 335200）
Author(s):
WAN Chun-gen; YIN Wei-gen; HE Li-bo; XI Wei-wei
(Yujiang District People’s Hospital,Yingtan 335200,Jiangxi,China)
关键词:
桡骨远端骨折; 腕桡侧入路; 锁定钢板内固定; 腕关节功能
Keywords:
Distal radius fracture; Radial wrist approach; Internal fixation with locking plate;  Wrist function
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2019.24.043
文献标志码:
A
摘要:
目的 探讨腕桡侧入路掌侧锁定钢板内固定对桡骨远端骨折患者术中出血量及腕关节功能的影响。方法 选取2016年8月~2019年8月我院收治的80例桡骨远端骨折患者，随机分为对照组及观察组，各40例，对照组予以腕桡侧入路掌侧普通钢板内固定治疗，观察组予以腕桡侧入路掌侧锁定钢板内固定治疗，比较两组手术时间、术中出血量、住院时间、骨折愈合时间及术前、术后3个月疼痛程度和腕关节功能。结果 两组手术时间、术中出血量及住院时间比较，差异无统计学意义（P＞0.05）；观察组骨折愈合时间短于对照组，差异有统计学意义（P＜0.05）；两组术前VAS评分、PRWE评分以及Gartland-Werley评分比较，差异无统计学意义（P＞0.05）；术后3个月两组VAS评分、Gartland-Werley评分下降，PRWE评分上升，且观察组改善优于对照组，差异有统计学意义（P＜0.05）。结论 腕桡侧入路掌侧锁定钢板内固定治疗桡骨远端骨折效果确切，有助于缩短骨折延迟愈合时间、减轻患者疼痛，改善患者腕关节功能。
Abstract:
Objective To investigate the effect of radial fixation with volar locking plate internal fixation on carpal radial approach on intraoperative blood loss and wrist function in patients with distal radius fractures. Methods A total of 80 patients with distal radius fractures treated in our hospital from August 2016 to August 2019 were randomly divided into the control group and the observation group, each with 40 cases. Treatment, the observation group was treated with the radial approach of the palmar locking plate internal fixation, and the operation time, intraoperative blood loss, hospital stay, fracture healing time, and the pain and wrist function before and after 3 months were compared between the two groups.Results There was no significant difference in the operation time, intraoperative blood loss, and hospital stay between the two groups (P>0.05). The fracture healing time in the observation group was shorter than that in the control group,the difference was statistically significant (P<0.05). There was no significant difference in VAS score, PRWE score, and Gartland-Werley score (P>0.05). After 3 months, the VAS score and Gartland-Werley score of the two groups decreased, and the PRWE score increased, and the observation group improved better than the control group, the difference was statistically significant (P<0.05). Conclusion The radial-carpal approach of the palmar locking plate internal fixation is effective in treating distal radius fractures, which is helpful to shorten the delayed healing time of fractures, reduce pain, and improve wrist function.

参考文献/References:

[1]陈锡飞,蔡国宏,曾飞.掌背侧入路锁定解剖钢板治疗C3型粉碎性桡骨远端骨折疗效分析[J].浙江临床医学,2018,20(2):301-302.[2]胡海洋,巨积辉,周正虎,等.经掌侧入路部分保留旋前方肌锁定接骨板治疗桡骨远端不稳定性骨折[J].中华手外科杂志,2018,34(3):181-184.[3]董晖,冉建,肖辉,等.经桡侧入路治疗桡骨远端不稳定骨折的疗效分析[J].中华手外科杂志,2017,33(5):321-323.[4]谢行思,黄永辉,吴兴源.掌侧双柱锁定钢板治疗桡骨远端不稳定性骨折的效果评价[J].医学临床研究,2016,33(1):60-62.[5]唐韬,胡俊,刘颉鸿,等.手术治疗桡骨远端骨折78例疗效分析[J].实用手外科杂志,2019,33(2):179-182.

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更新日期/Last Update: 2019-12-15