原发骨质疏松性Colles骨折临床特点分析的病例对照研究

Case-control study on the clinical characteristics of senile-osteoporotic Colles fracture

目的:分析比较老年原发性骨质疏松Colles骨折患者与无骨质疏松Colles骨折患者的临床特点。方法:总结2007年6月至2009年6月治疗的260例Colles骨折门诊患者,男60例,女200例;平均年龄66.5岁。按Colles骨折的Cooney分型:Ⅰ型44例,Ⅱ型83例,Ⅲ型92例,Ⅳ型41例。其中96例为原发性骨质疏松骨折患者,164例为无骨质疏松骨折患者,对两组的一般项目、复位石膏固定后失效率及临床疗效进行比较。结果:两组患者年龄、性别、骨折部位差异无统计学意义;骨质疏松组Ⅲ型及Ⅳ型骨折多于无骨质疏松组(P<0.01);骨质疏松组复位后失效率高于无骨质疏松组(P<0.01);随访6个月后,无骨质疏松组临床疗效优于骨质疏松组(P<0.01)。结论:原发骨质疏松性Colles骨折有其自身临床特点,治疗时需加以对症,勤复查,并加强医患沟通。

To analysis and compare the clinical characteristics of Colles fractures between patients with osteo- porotic and without osteoporotic. Methods ： From June 2007 to June 2009,260 patients with Colles fracture were reviewed, in- cluding 60 males and 200 females, with a mean age of 66.5 years old. According to Cooney classification ： 44 patients were type I , 83 patients were type [I , 92 patients were type m and 41 patients were type IV. Among the patients, 96 patients were osteo- porotic Colles fractures, and 164 patients without osteoporotic. The general information,invalidiation rate and short-term clini- cal results were compared between two groups. Results：There were no statistically difference of age, gender and fracture posi- tion between the two groups. There were more patients with type m and type IV , and higher invalidiation rate in osteoporotic Colles fi＇acture group compared to those of no osteoporotic Colles fracture group （P〈0.01）. At the 6 months after treatment, the clinical effects of no osteoporotic Colles fracture group was better than that of osteoporotic Colles fracture group （P〈0.01）. Conclusion：The senile-osteoporotic Colles fracture has different clinical characteristics ,which should be given special treat- ment, frequent review and communication between doctors and patients durin~ the period of treatment.