尺骨茎突骨折及分型对桡骨远端骨折术后临床疗效的影响

Impact of ulnar styloid fracture and typing on clinical efficacy of distal radius fracture surgery

目的探讨尺骨茎突骨折及分型对桡骨远端骨折手术后疗效进行分析。方法随机将85例患者分为治疗组58例和对照组27例,首先手术麻醉,在患处作一纵行切口,充分暴露术野,对骨折部位实施复位,给予钢板螺钉内固定治疗,并观察其疗效、不同分型X线测量结果等。结果治疗组总疗效98.28%明显高于对照组81.48%,差异有统计学意义(P<0.05);其分型X线测量结果和随访腕关节的评分差异无统计学意义(P>0.05)。结论钢板螺丝内固定治疗骨折桡骨远端骨折,维持关节面的复位疗效甚佳;但与尺骨茎突骨折、愈合与否、分型X线测量、腕关节功能回复等无影响,需在以后临床中进一步的探讨。

Objective To investigate the impact of ulnar styloid fracture and typing on the clinical efficacy of distal radial fracture surgery. Methods Eighty-five patients were ivided into the treatment group with 58 patients and the con- trol group with 27 patients. After anesthesia, a longitudinal incision was carried out in the wounded part and the surgical filed was fully exposed, followed by the facture reduction and the internal fixation with steel plates and screws. The efficacy and different typing X-ray measuring results were observed. Results The total effective rate of the treatment group was 98.28%, which was significantly higher than the 81.48% of the control group, with statistically significant difference （P 〈 0.05 ）, but the X-ray measuring results and the follow-up wrist scores had no statistically significant differences （P 〉 0.05）. Conclusion Internal fixation with steel plates and Screws has favorable efficacy in the treatment of distal radius fracture and in the maintenance of articular surface, but it has no impact on the ulnar styloid fracture, healing, typing X-ray measurement and wrist function recovery, which needs further exploration in future.