桡骨远端骨折手术治疗的临床观察

目的探讨桡骨远端骨折患者手术与外固定的治疗效果。方法回顾性分析2010年1月至2011年1月收治的80例桡骨远端骨折患者的临床资料，按随机数字表法分为观察组和对照组，每组40例。观察组采用钢板内固定治疗，对照组采用闭合复位夹板外固定治疗，比较两组治疗前和治疗后3个月掌倾角、尺偏角、桡骨轴向缩短移位及治疗后1年的临床疗效。结果两组治疗前掌倾角、尺偏角、桡骨短缩比较差异无统计学意义（P〉0．05）。治疗后3个月，观察组掌倾角为（17．0±1．6）°、尺偏角（23．0±2．1）°、桡骨短缩（1．0±0．2）mm；对照组分别为（4．0±0．8）°、（10．0±1．1）°、（4．0±1．1）mm，两组比较差异有统计学意义（P〈0．05）。观察组优良率90．0％（36／40），明显高于对照组的50．0％（20／40），差异有统计学意义（P〈0．05）。结论桡骨远端骨折的患者，采用手术切开钢板内固定治疗有利于恢复患者的腕部功能和解剖结构，减少术后腕关节功能不良的发生，提高患者的生活质量，值得临床推广应用。

Clinical observation on the treatment of distal radius fractures operation

Objective To investigate the therapeutic effect of distal radius fractures operation. Methods Eighty distal radius fractures patients who were treated from January 2010 to January 2011 were divided into observation group and control group by random digits table method, each group had 40 cases. The observation group was treated with plate internal fixation, the control group took closed reduction and splint external fixation. The palmar tilt, radial ulnar deviation, axial shortening before treatment and after treatment for 3 months were compared between two groups. The clinical curative effect after treatment for 1 year was compared. Results The palmar tilt,radial ulnar deviation,axial shortening before treatment between two groups had no significant difference （P 〉 0.05）. After treatment for 3 months, the palmar tilt, radial ulnar deviation, axial shortening in observation group were （17.0 ± 1.6）° , （23.0 ± 2.1 ）° , （1.0 ± 0.2） mm, in control group were （4.0 ± 0.8 ）°, （ 10.0 ± 1.1 ）°, （4.0 ± 1.1 ） mm, there was significant difference（P 〈 0.05）. After treatment for 1 year, the excellent and good rate in observation group was 90.0% （36/40）, significantly higher than that in control group [ 50.0% （20/40）] （P 〈 0.05）. Conclusion Plate internal fixation in the treatment of distal radius fractures is more conductive to the wrist recovery of joint structure and function, reduce the occurrence of wrist joint dysfunction,improve the quality of life,and is worth to be applied in clinic.