老年性桡骨远端骨折手术与非手术治疗的疗效比较

Comparison of Surgical and Non-surgical Treatment of Distal Radius Fractures in Elderly Patients

目的:观察并探讨手术和非手术治疗对老年桡骨远端骨折(DRF)的疗效。方法:对某院所收治的92例老年性桡骨远端骨折患者术后6周以及12个月进行随访,比较影像学的检查结果和腕关节功能恢复情况。结果:非手术治疗有50例,手术治疗有42例。手术治疗组患者的影像学检查结果在6周后明显优于非手术治疗组(P<0.05),而在1年内,两组患者腕功能恢复情况没有明显差异。结论:1年后,非手术治疗在一定程度上腕关节活动有些影响,之后其功能恢复无明显影响。

Objective：To observe and explore the curative effect of surgical and non-operative treatment on distal radius fractures（DRF）in elderly patients.Methods：92 cases of elderly patients with distal radius fracture treated in a hospital were followed up for 6 weeks and 12 months after operation.The results of imaging examination and wrist function recovery were compared.Results：There were 50 cases of non-operative treatment and 42 cases of surgical treatment.The results of imaging examination in the surgical treatment group were significantly better than those in the non-operative treatment group after six weeks（P〈0.05）.Within one year,there was no significant difference in wrist function recovery between the two groups.Conclusion：One year later,non-operative treatment has a certain degree of influence on wrist movement,but no significant effect is found on the recovery of wrist function.