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外科研究与新技术 ›› 2017, Vol. 6 ›› Issue (4): 256-258.doi: 10.3969/j.issn.2095-378X.2017.04.008

• 论著 • 上一篇    下一篇

保守治疗与手术治疗桡骨远端骨折临床疗效观察

顾俊峰, 戴小青, 翁献   

  1. 江苏省常熟市第五人民医院骨科,常熟 215500
  • 收稿日期:2017-08-11 发布日期:2017-12-28
  • 作者简介:顾俊峰(1981—),男,本科,主治医师,从事临床骨科;电子信箱: dsy3672702@163.com

Clinical observation of conservative treatment and surgical treatment for distal radius fracture

GU Junfeng, DAI Xiaoqing, WENG Xian   

  1. Department of Orthopaedics,The Fifth People’s Hospital of Changshu,Changshu 215500,China
  • Received:2017-08-11 Published:2017-12-28

摘要: 目的 观察手术与保守两种治疗方法对于桡骨远端骨折的疗效差异。方法 将住院治疗的桡骨远端骨折患者随机分为两组,保守治疗组和手术治疗组,比较两组患者治疗半年后骨折部位、腕关节尺侧疼痛情况及影像学疗效差异。结果 手术治疗组患者骨折部位及腕关节尺侧的VAS疼痛评分低于保守治疗组,且影像学疗效评估优良率更高,差异有统计学意义(P<0.05)。结论 手术治疗桡骨远端骨折患者的临床疗效较保守治疗更为显著,不仅可以显著降低患者术后的疼痛度,而且可以提高固定效果,值得临床推广使用。

关键词: 桡骨远端骨折, 手术治疗, 保守治疗

Abstract: Objective To observe the difference in curative effects between surgical treatment and conservative treatment on distal radius fracture.Methods The hospitalized patients with distal radius fractures were randomly divided into a conservative treatment group and a surgical treatment group.Comparisons in the pain levels of fracture site and ulnar wrist and the medical imaging evaluation results were made between the two groups.Results The surgical treatment group showed a lower score of VAS pain in fracture site and ulnar wrist and a higher excellent and good rate of imaging evaluation than the conservative group,and the differences were statistically significant (P<0.05).Conclusion Surgical treatment for distal radius fractures is more effective than conservative treatment,with less postoperative pain and improved fixation effect,thus is worthy of clinical promotion.

Key words: Distal radius fracture, Surgical treatment, Conservative treatment

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