手术和手法复位对桡骨远端骨折患者的治疗效果分析OA
Analysis of the Therapeutic Effects of Surgical and Manual Reduction on Patients with Distal Radius Fractures
目的:探讨手术治疗或手法复位对桡骨远端骨折患者的临床治疗效果.方法:回顾性分析 2021年 6月—2024年 7月济宁市第三人民医院收治的 81例桡骨远端骨折患者临床资料,依据治疗方法的不同将其分为对照组(n=40)和研究组(n=41).对照组采用手法复位治疗,研究组采用手术治疗.对比两组骨折恢复情况、掌倾角角度、腕关节功能及并发症发生情况.结果:研究组骨折恢复优良率为97.56%,高于对照组的 80.00%,差异有统计学意义(P<0.05).治疗后 1个月,研究组掌倾角角度大于对照组,Cooney腕关节评分中各个维度评分及总分均高于对照组,差异均有统计学意义(P<0.05).研究组并发症总发生率为 2.44%,低于对照组的 20.00%,差异有统计学意义(P<0.05).结论:相较于手法复位,手术治疗能够有效降低桡骨远端骨折患者并发症发生率,提高骨折恢复效果,改善其掌倾角角度及腕关节功能,具有一定的临床应用价值.
Objective:To explore the clinical effect of surgical treatment or manual reduction treatment for patients with distal radius fractures.Methods:A retrospective analysis was conducted on the clinical data of 81 patients with distal radius fractures admitted to the Third People's Hospital of Jining City from June 2021 to July 2024.They were divided into a control group(n=40)and a study group(n=41)according to different treatment methods.The control group was treated with manual reduction,while the study group was treated with surgery.The fracture recovery conditions,palmar inclination angles,wrist joint functions and the occurrence of complications were compared between the two groups.Results:The excellent and good rate of fracture recovery in the study group was 97.56%,which was higher than 80.00%in the control group,and the difference was statistically significant(P<0.05).One month after the treatment,the palmar inclination angle of the study group was greater than that of the control group,and the scores of each dimension and the all dimension of the Cooney wrist joint score were higher than those of the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the study group was 2.44%,which was lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion:Compared with manual reduction,surgical treatment can effectively reduce the incidence of complications in patients with distal radius fractures,improve the recovery effect of fractures,and improve the palmar inclination angle and wrist joint function.It has certain clinical application value.
谌晓强
山东省济宁市第三人民医院手足外科,山东 济宁 272000
医药卫生
桡骨远端骨折手法复位手术治疗并发症恢复情况
Distal radius fractureManual reductionSurgical treatmentComplicationsRecovery status
《中国伤残医学》 2025 (8)
31-34,4
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