不同保守疗法对Colles骨折桡骨长度丢失情况的影响分析

Effect analysis of different conservative treatment on the radius bone length lost of Colles fracture

目的探讨两种保守法对Colles骨折桡骨长度丢失及其临床疗效的差异,为临床治疗提供科学依据。方法将在我院接受治疗的80例Colles骨折患者随机分为A组40例和B组40例。A组采用先石膏后夹板固定,B组先夹板后石膏固定。对两种治疗方法的桡骨长度丢失及临床疗效进行分析对比研究。结果两组固定法对于挠骨长度丢失无显著性差异,但是在临床有效率上B组疗效明显高于A组,差异具有统计学意义(P<0.05)。结论在治疗关节外Colles骨折的临床应用上,夹板后石膏功能位固定疗效显著,是一种值得在临床上大力推广手术方案。

Objective To discuss the difference of radius bone length lost of Colles fracture and clinical effect of two different kinds of conservative treatment in order to provide scientific basis for clinical treatment. Methods 80 cases with Colles fracture in our hospital were divided into 40 cases of group A and 40 cases of group B randomly. Group A used splint fixation after plaster fixation,while group B used piaster fixation after splint fixation. The radius bone length lost and clinical effect of two kinds of treatment methods were analyzed and compared. Results There was not significant difference on the radius bone length lost between two fixed methods,but the clinical effective rate of group B was significantly higher than that of group A,and the difference was significant（P 〈 0.05）. Conclusion Gypsum function fixation after splint fixation on the treatment of abarticular Colles fracture has significant effect, and is an operation program that can be worth to promote in clinical therapy.