期刊文献+

桡骨远端骨折手术与非手术治疗研究

The study of surgery and nonsurgical in the treatment of distal radius fracture
下载PDF
导出
摘要 目的:探究手术与非手术治疗桡骨远端骨折的效果。方法:收治桡骨远端骨折患者56例,将其随机分为两组,分别采用手术和非手术治疗,治疗结束后对两组患者的治疗效果情况、治疗前后VAS和Cooney评分、治疗前后患者关节功能恢复情况进行调查。结果:手术治疗组患者的显效率(50.00%)和总有效率(92.86%)均高于非手术治疗组患者的32.14%和78.57%,同时手术治疗组患者的关节功能恢复情况要更优于非手术治疗组,差异有统计学意义(P<0.05)。结论:采用手术方法治疗桡骨远端骨折,治疗效果优于非手术治疗,应根据患者的实际情况选用合适的治疗方法。 Objective:To study the therapeutic effect of surgical and non operative in the treatment of distal radius fracture.Methods:56 patients with distal radius fracture were selected,they were randomly divided into the two groups,the operation and non operative treatment were used respectively,after treatment,the treatment effect,the VAS score and Cooney score before and after treatment,and the recovery of joint function before and after treatment were investigated in two groups.Results:The marked improvement rate(50%)and the total effective rate(92.86%)of patients in the operation group were higher than those in the non operative treatment group of 32.14% and 78.57%,at the same time,the recovery of the joint function of patients in the operation group was better than that of the non operative treatment group,the differences were statistically significant(P<0.05).Conclusion:Surgical treatment for distal radius fractures was better than non operative treatment.Appropriate treatment should be selected according to the actual situation of patients.
作者 李建斌
出处 《中国社区医师》 2018年第6期31-31,34,共2页 Chinese Community Doctors
关键词 桡骨远端骨折 手术治疗 非手术治疗 治疗效果 Distal radius fracture Surgical treatment Nonoperative treatment Therapeutic effect
  • 相关文献

参考文献4

二级参考文献23

  • 1Lafontaine M,Hardy D,Delince P.Stability assessment of distal radius fractures.Injury,1989,20:208-210.
  • 2Mackenney PJ,McQueen MM,Elton R.Prediction of instability in dis-tal radial fractures.J Bone Joint Surg[Am],2006,88-A:1944-1951.
  • 3Hudak PL,Amadio PC,Bombardier C.Development of an upper ex-tremity outcome measure:the DASH(disabilities of the arm,shoulder and hand).The Upper Extremity Collaborative Group(UECG).Am J Ind Med,1996,29:602-608.
  • 4Kreder HJ,Agel J,McKee MD,et al.A randomized,controlled trial of distal radius fractures with metaphyseal displacement but without joint incongruity:closed reduction and casting versus closed reduction,spanning external fixation,and optional percutaneous K-wires.J Or-thop Trauma,2006,20:115-121.
  • 5Barton T,Chambers C,Bannister G.A comparison between subjective outcome score and moderate radial shortening following a fractured distal radius in patients of mean age69years.J Hand Surg Eur Vol,2007,32:165-169.
  • 6Hattori Y,Doi K,Estrella EP,et al.Arthroscopically assisted reduction with volar plating or external fixation for displaced intra-articular frac-tures of the distal radius in the elderly patients.Hand Surg,2007,12:1-12.
  • 7Jaremko JL,Lambert RG,Rowe BH,et al.Do radiographic indices of distal radius fracture reduction predict outcomes in older adults receiv-ing conservative treatment?Clin Radiol,2007,62:65-72.
  • 8Wong TC,Chiu Y,Tsang WL,et al.casting versus percutaneous pin-ning for extra-articular fractures of the distal radius in an elderly Chi-nese population:a prospective randomized controlled trial.J Hand Surg Eur Vol,2010,35:202-208.
  • 9Grewal R,Perey B,Wilmink M,et al.A randomized prospective study on the treatment of intra-articular distal radius fractures:open reduc-tion and internal fixation with dorsal plating versus mini open reduc-tion,percutaneous fixation,and external fixation.J Hand Surg Am,2005,30:764-772.
  • 10Ruch DS,Lumsden BC,Papadonikolakis A.Distal radius fractures:a comparison of tension band wiring versus ulnar outrigger external fixa-tion for the management of distal radioulnar instability.J Hand Surg(Am),2005,30:969-978.

共引文献149

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部