三种方法治疗桡骨远端骨折引起腕管综合征风险的研究

THE RISK OF CARPAL TUNNEL SYNDROME CAUSED BY THREE METHODS OF DISTAL RADIUS FRACTURES

目的探讨桡骨远端骨折不同术式的效果。方法回顾分析145例C型桡骨远端骨折患者的临床资料,其中行桥接外固定术45例,掌侧钢板内固定术62例,背侧钢板内固定术38例,随访患者术后1、6个月腕管综合征发生情况。结果术后1月,行背侧钢板内固定术患者腕管综合征发生率最低,另外两种术式比较无统计学意义(χ^2=6.12,P=0.047);术后6月,3种术式腕管综合征的发生率没有统计学意义(χ^2=0.03,P=0.985)。结论桡骨远端骨折手术方式的选择应综合考虑患者的具体情况,根据骨折类型和手术者经验来选择。

Objective To investigate the effect of different surgical methods for distal radius fractures.Methods The clinical data of 145 patients with type C distal radius fractures were retrospectively analyzed.Among them,45 cases underwent bridge external fixation,62 cases underwent palmar plate internal fixation,and 38 cases underwent dorsal plate internal fixation.Follow-up visits were conducted to monitor carpal tunnel syndrome after one month and six months.Results One month after operation,the incidence of carpal tunnel syndrome was the lowest in patients undergoing dorsal plate internal fixation,and the other two methods were not statistically significant(χ^2=6.12,P=0.047).Three months after operation,the incidence of carpal tunnel syndrome with three methods was not statistically significant(χ^2=0.03,P=0.985).Conclusion The choice of surgical methods for distal radius fractures should be based on the specific situation of the patient,and should be selected according to the type of fracture and the experience of the operator.