| 桡骨远端骨折手术与非手术治疗的临床疗效比较 |
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| 引用本文： | 裘晓冬,王人彦,陆洲,骆志航. 桡骨远端骨折手术与非手术治疗的临床疗效比较[J]. 中国现代医生, 2013, 0(18): 42-44,47 |
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| 作者姓名： | 裘晓冬 王人彦 陆洲 骆志航 |
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| 作者单位： | [1]浙江省富阳市中医骨伤医院五西病区,浙江富阳311400 [2]浙江省富阳市中医骨伤医院科教科,浙江富阳311400 |
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| 基金项目： | 浙江省中医（中西医结合）单病种诊疗规范研究计划（2009GA007）;浙江省中医药重点专科建设资助项目（2012-XK-D03） |
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| 摘 要： | 目的探讨桡骨远端骨折手术与非手术治疗的临床效果以及影像学改变，为临床选择合适的治疗方法提供理论依据。方法回顾性分析60例桡骨骨折患者的临床资料，分析治疗前后的关节功能及影像学改变。结果术后4周时，手术组的Jakim评分结果高于非手术组患者（P〈0．05）。治疗后2～24周，手术组患者的掌倾角、尺偏角、桡骨高度均显著大于非手术组患者（P〈0．05或P〈0．01）。结论手术治疗能够达到较好的解剖复位，但对于老年患者，手法复位达到的功能恢复效果与手术治疗相似。
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| 关 键 词： | 桡骨远端骨折 手术治疗 非手术治疗 |
Clinical efficacy of operational treatment and non-operational treatment for fracture of distal radius |
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| QIU Xiaodon,WANG Renyan,LU Zhou,LUO Zhihang. Clinical efficacy of operational treatment and non-operational treatment for fracture of distal radius[J]. , 2013, 0(18): 42-44,47 |
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| Authors: | QIU Xiaodon WANG Renyan LU Zhou LUO Zhihang |
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| Affiliation: | 1.Fifth West Ward, TCM Bone Injury Hospital of Fuyang, Fuyang 311400, China;2.Department of Science and Edu- cation, TCM Bone Injury Hospital of Fuyang, Fuyang 311400,China) |
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| Abstract: | Objective To discuss clinical efficacy of operation and non-operational treatment for fracture of distal ra- dius. Methods Retrospectively analyze clinical data of 60 cases with fracture of distal radius. Results Four weeks after treatment, Jakim score of operational group was higher than non-operational group （P 〈 0.05）. From 2 to 12 weeks after treatment, palmar tilt, radial inclination, radial height of operational group were larger than non-operational group （P 〈 0.05 or P 〈 0.01 ）. Conclusion Operational treatment for fracture of distal radius shows better anatomical reduction. But for senior patients, non-operational treatment can get same clinical efficacy with operational treatment. |
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| Keywords: | Fracture of distal radius Operational treatment Non-operational treatment |
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