克氏针微创治疗与切开复位钢板螺钉内固定治疗桡骨远端骨折的疗效对比

Comparison of effect of minimally invasive therapy with Kirschner wire and open reduction therapy with plate and screw internal fixation in the treatment of distal radius fractures

目的:比较克氏针微创治疗与切开复位钢板螺钉内固定治疗桡骨远端骨折的疗效。方法:2017年6月-2019年6月收治桡骨远端骨折患者70例,随机分为两组,各35例。观察组采用克氏针微创治疗;对照组采用切开复位钢板螺钉内固定治疗。比较两组治疗效果。结果:观察组治疗优良率显著高于对照组,差异有统计学意义(P<0.05);观察组骨折愈合时间、肿胀消失时间、疼痛缓解时间、手术时间、手术出血量、住院时间及并发症发生率均显著低于对照组,差异有统计学意义(P<0.05);观察组治疗后3、6个月后腕关节功能评分(Cooney)明显优于对照组,差异有统计学意义(P<0.05)。结论:与切开复位钢板内固定手术相比,克氏针微创治疗治疗桡骨远端骨折,疗效更为显著,安全性较高。

Objective:To compare the curative effect of minimally invasive therapy with Kirschner wire and open reduction therapy with plate and screw internal fixation in the treatment of distal radius fractures.Methods:From June 2017 to June 2019,70 patients with distal radius fractures were enrolled,they were randomly divided into two groups with 35 cases in each group.The observation group was treated with minimally invasive therapy with Kirschner wire.The control group was treated with open reduction therapy with plate and screw internal fixation.The therapeutic effects between the two groups were compared.Results:The excellent rate of treatment in the observation group was significantly higher than the control group,the difference was statistically significant(P<0.05).The healing time of fractures,the disappearance time of swelling,the relief time of pain,the time of operation,the amount of bleeding loss during operation,the length of hospital stays and the incidence of complications in the observation group were all significantly lower than the control group,the differences were statistically significant(P<0.05).After 3 or 6 months of treatment,the score of wrist function(Cooney)of the observation group was better than the control group,the difference was statistically significant(P<0.05).Conclusion:Compared with open reduction therapy with plate and screw internal fixation,minimally invasive therapy with Kirschner wire for distal radius fractures is more effective and safer.