[1]李传玲,吕辉照,梁志白,等.全程超声引导下闭合复位治疗妊娠期桡骨远端骨折17例[J].中国中医骨伤科杂志,2023,31(02):66-69.
　LI Chuanling LYU Huizhao LIANG Zhibai AI Jianguo ZHAO Feng.Close Reduction under Whole Ultrasound Guidence for Pregnant Distal Radial Fracture 17 Cases[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(02):66-69.
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全程超声引导下闭合复位治疗妊娠期桡骨远端骨折17例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年02期
页码:
66-69
栏目:
临床报道
出版日期:
2023-02-15

文章信息/Info

Title:
Close Reduction under Whole Ultrasound Guidence for Pregnant Distal Radial Fracture 17 Cases
文章编号:
1005-0205(2023)02-0066-04
作者:
李传玲1; 吕辉照1; 梁志白1; 艾建国1; 赵枫1
1中国人民解放军联勤保障部队第910医院骨科(福建 泉州,362000)
Author(s):
LI Chuanling1 LYU Huizhao1 LIANG Zhibai1 AI Jianguo1 ZHAO Feng1
1The Department of Orthopaedics,the 910th Hospital of PLA,Quanzhou 362000,Fujian China.
关键词:
妊娠期;  桡骨远端骨折;  超声引导;  闭合复位
Keywords:
pregnancy;  distal radial fracture;  ultrasound-guided;  close reduction
分类号:
R683.41
文献标志码:
B
摘要:
目的:探讨全程超声引导下闭合复位治疗妊娠期桡骨远端骨折的临床疗效。方法:2014年1月至2022年3月共收治桡骨远端骨折妊娠期患者17例,年龄为26～40岁,平均为(29.76±3.51)岁; 孕龄为13～36周,平均为(23.82±7.04)周。骨折AO分型:A型2例,B型10例,C型5例。所有患者均采用全程超声引导下骨折复位。记录围手术期情况、腕关节功能及活动度、影像学评估情况。结果:所有患者均随访(14.32±2.79)个月,所有患者骨折均愈合,骨愈合时间为(4.82±0.81)周。末次随访时X线片的桡骨远端掌倾角(PT)为11.76°±2.98°,尺偏角(RI)为21.86°±2.47°,桡骨茎突长度(RL)为(1.62±1.12)cm。腕伸-屈活动范围(ROM)为108.10°±7.00°,腕尺偏-桡偏活动范围为66.55°±3.30°,Gartland-Werley评分为(0.66±0.55)分,腕关节功能均达到优。结论:妊娠期桡骨远端骨折采用全程超声引导下闭合复位具有可行性,可以规避射线对胎儿的影响,治疗效果与常规透视下复位类似,可能是治疗该类型骨折的可选方法之一。
Abstract:
Objective:To explore the efficacy of close reduction under ultrasound guidence for pregnant distal radial fracture.Methods:17 pregnant women with distal radial fracture were treated from January 2014 to March 2022 aged from 26 to 40 years old with(29.76±3.51)years old on average and gestational aged from 13 to 36 weeks with(23.82±7.04)weeks on average.According to AO classification,there were 2 patients in A type,10 patients in B type and 5 patients in C type.All patients were treated with close reduction under whole ultrasound guidence.Perioperative situation,wrist function and activity,data of X-ray were recorded.Results:All patients were follow up for(14.32±2.79)months.All fractures were healed,and the main time was(4.82±0.81)weeks.At the last follow-up,the main distal radial palmar tilt(PT)on X-ray was 11.76°±2.98°,radial inclination(RI)was 21.86°±2.47° and radial length(RL)was(1.62±1.12)cm.The wrist range of motion(ROM)of dorsal flexion was 66.55°±3.30°,the wrist ROM of palmar flexion was 66.55°±3.30° and Gartland-Werley score was 0.66±0.55.Conclusion:Close reduction under whole ultrasound guidance for pregnant distal radial fracture could be feasible,and could advoid radiation injury to fetus.Because of its similar effect with close reduction under fluoroscopy,it could be an option for this kind of injury.

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更新日期/Last Update: 2023-02-10