掌侧入路手术治疗桡骨远端骨折的效果及安全性

目的评价掌侧入路治疗桡骨远端骨折的效果及安全性,探讨其临床适用性。方法选择2010年5月-2012年5月于本院就诊的120例桡骨远端骨折患者,简单随机分为试验组（68例）和对照组（52例）,试验组患者采用掌侧入路手术治疗,对照组患者采用背侧入路手术治疗。观察两组患者的一般情况、术后愈合情况、并发症发生情况,观察两组患者手术前后关节活动变化情况。结果试验组患者手术时间、住院时间短于对照组,术中出血量少于对照组,差异有统计学意义（P〈0.05）。两组患者治疗后关节活动度改善情况显著,与治疗前比较,差异有统计学意义（P〈0.05）;且试验组患者治疗后关节活动度改善情况明显优于对照组,两组治疗后比较,差异有统计学意义（P〈0.05）。试验组患者术后骨折愈合时间、优良率与对照组比较,差异有统计学意义（P〈0.05）。试验组患者并发症发生率（5.9%）明显低于对照组（19.2%）,差异有统计学意义（χ^2=5.09,P〈0.05）。结论掌侧入路治疗桡骨远端骨折效果显著,操作简单,骨折愈合时间短,安全性较高,适合临床长期推广应用。

The efficacy and safety of volar surgery in treatment of distal radius fracture

Objective To analyze the efficacy of volar surgery in the treatment of distal radius fracture. Methods 120 cases of patients with distal radius fracture treated in our hospital from May 2010 to May 2012 were selected,and they were simplely randomly divided into experimental group（68 cases） and control group（52 cases）,the experimental group were treated with volar surgery,while the control group were treated with dorsal approach surgery.The general surgery of patients,postoperative healing and occurrence of complications of the two groups was observed. Results Operative time,length of hospital stay of the experimental group was shorter than that of the control group,blood loss was less than that of the control group,the difference were significant（P〈0.05）.The improvement of the joint activities in the two groups after treatment was better than that before treatment,the difference was significant（P〈0.05）;and the joint activities of the experimental group was better than that in the control group,the difference was significant（P〈0.05）.The healing time,excellent rate of the experimental group was better than that of the control group,the difference was significant（P〈0.05）.The incidence rate of complications in the experimental group（5.9%） was lower than that（19.2%） in the control group,the difference was significant（χ^2=5.09,P〈0.05）. Conclusion Volar surgery in the treatment of distal radius fracture is significant,and healing time is short.