[1]刘锋,陈凯奇.尺骨茎突骨折内固定对桡骨远端骨折合并尺骨茎突骨折治疗结果的影响[J].中国中医骨伤科杂志,2024,32(02):60-66.[doi:10.20085/j.cnki.issn1005-0205.240211]
　LIU Feng CHEN Kaiqi.The Efficacy of Internal Fixation for Ulnar Styloid Process Fractures on the Treatment Results of Distal Radius Fractures Combined with Ulnar Styloid Process Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(02):60-66.[doi:10.20085/j.cnki.issn1005-0205.240211]
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尺骨茎突骨折内固定对桡骨远端骨折合并尺骨茎突骨折治疗结果的影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年02期
页码:
60-66
栏目:
临床研究
出版日期:
2024-02-15

文章信息/Info

Title:
The Efficacy of Internal Fixation for Ulnar Styloid Process Fractures on the Treatment Results of Distal Radius Fractures Combined with Ulnar Styloid Process Fractures
文章编号:
1005-0205(2024)02-0060-07
作者:
刘锋1; 陈凯奇1
1广州市番禺区中医院(广州, 511400)
Author(s):
LIU Feng1 CHEN Kaiqi1
1Guangzhou Panyu District Hospital of Traditional Chinese Medicine,Guangzhou 511400,China.
关键词:
尺骨茎突骨折;  桡骨远端骨折;  腕关节功能;  内固定
Keywords:
ulnar styloid process fracture;  fractures of the distal radius;  wrist function;  internal fixation
分类号:
R683.41
DOI:
10.20085/j.cnki.issn1005-0205.240211
文献标志码:
A
摘要:
目的:探究尺骨茎突骨折内固定与否对桡骨远端骨折合并尺骨茎突骨折患者的治疗效果。方法:回顾性分析2020年1月至2022年1月收治的桡骨远端骨折合并尺骨茎突骨折患者90例,依据是否行尺骨茎突克氏针固定术分为两组,其中49例行尺骨茎突内固定治疗(A组),41例无尺骨茎突内固定治疗(B组),比较两组患者腕关节功能及影像学检测结果。结果:两组患者临床数据结果显示,A组患者骨折愈合所需时间平均为(11.88±1.28)周,B组患者骨折愈合所需时间平均为(12.08±1.36)周,差异无统计学意义(t=0.718,P=0.450); A组患者恢复优良率为95.92%,B组患者恢复优良率为92.68%,差异无统计学意义(P>0.05)。两组患者腕关节影像学检查结果比较差异无统计学意义(P>0.05)。两组患者上肢从事活动、临床症状、活动能力及臂肩手功能障碍(DASH)量表总评分比较差异无统计学意义(P>0.05)。两组患者健侧、患侧腕关节影像学检查结果比较差异无统计学意义(P>0.05)。A组有2例尺侧旋转疼痛(2/49,4.08%),B组有5例尺侧旋转疼痛(5/41,12.20%),差异无统计学意义(χ2=1.193,P=0.275)。结论:桡骨远端骨折合并尺骨茎突骨折时,尺骨茎突骨折内固定与否不会影响桡骨远端骨折患者的愈合及腕关节功能。
Abstract:
Objective:To investigate the therapeutic efficacy of internal fixation of the ulnar styloid process on patients with distal radius fractures combined with ulnar styloid process fractures.Methods:90 patients with distal radius fractures combined with ulnar styloid process fractures from January 2020 to January 2022 were analyzed retrospectively.They were divided into two groups based on whether they underwent ulnar styloid process Kirschner wire fixation surgery.Among them,49 patients received ulnar styloid process internal fixation treatment(group A)and 41 patients did not receive ulnar styloid process internal fixation treatment(group B).The wrist joint function and imaging results of the two groups of patients were compared.Results:Statistics and analysis of clinical data from two groups of patients showed that the average fracture recovery time of group A patients was(11.88±1.28)weeks,while the average fracture recovery time of group B patients was(12.08±1.36)weeks,with no statistically significant difference(t=0.718,P=0.450).The excellent and good recovery rate of group A fracture patients was 95.92%,while the excellent and good recovery rate of group B patients was 92.68%,with no statistically significant difference(P>0.05).There was no statistically significant difference in wrist joint imaging results between the two groups of patients(P>0.05).There was no statistically significant difference in upper limb activity,clinical symptoms,activity ability,and total disabilities of the arm,shoulder and hand(DASH)score between the two groups of patients(P>0.05).There was no statistically significant difference in the imaging examination results of the wrist joint between the healthy and affected sides of patients in group A and group B(P>0.05).Group A had 2 cases of ulnar rotation pain(2/49,4.08%),there were 5 cases of ulnar rotation pain in group B(5/41,12.20%),with no statistically significant difference(χ2=1.193, P=0.275).Conclusion:When distal radius fracture combined with ulnar styloid process fracture,internal fixation of ulnar styloid process fracture does not affect the healing and wrist function of patients with distal radius fracture.

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备注/Memo

备注/Memo:
基金项目:广东省中医药管理局课题(20191263)
更新日期/Last Update: 2024-02-15