微创钢板内固定治疗尺骨骨折疗效及评估(1)
[摘要]目的 探讨微创钢板内固定治疗尺骨骨折的疗效。方法 选取我院2013年2月～2015年2月住院接受治疗的100例尺骨骨折患者。根据抽签法将其分为切开复位组和微创钢板组，各50例。切开复位组以切开复位钢板内固定治疗；微创钢板组实施微创钢板内固定治疗。观察腕关节功能优良率、手术治疗后感染、内固定物滑脱、关节疼痛、骨折延迟愈合等并发症的发生率；比较术前、术后患者肘关节HHS评分、腕关节Gartland-Werley评分、手术时间、住院时间及愈合时间的差异。结果 微创钢板组腕关节功能优良率高于切开复位组，切开复位组为74.00%，微创钢板组为98.00%，差异有统计学意义(P<0.05)；微创钢板组手术治疗后感染、内固定物滑脱、关节疼痛、骨折延迟愈合等并发症发生率低于切开复位组，差异有统计学意义(P<0.05)；术前两组肘关节HHS评分、腕关节Gartland-Werley评分相似，差异无统计学意义(P>0.05)；术后两组肘关节HHS评分、腕关节Gartland-Werley评分与术前比较明显改善，差异有统计学意义(P<0.05)，且微创钢板组改善明显高于切开复位组，差异有统计学意义(P<0.05)。微创钢板组手术时间、住院时间、愈合时间明显短于切开复位组，差异有统计学意义(P<0.05)。结论 微创钢板内固定治疗尺骨骨折疗效确切，手术简单，创伤小，术后并发症少，可缩短住院时间，加速骨折愈合，改善患者肘关节和腕关节功能，值得推广。
[关键词]微创钢板内固定；尺骨骨折；疗效
[中图分类号] R683 [文献标识码] A [文章编号] 1674-4721(2016)08(a)-0091-04
[Abstract]Objective To study the effect of minimally invasive plate fixation in the treatment of ulnar fracture.Methods From February 2013 to February 2015，100 patients with ulnar fractures admitted into our hospital were selected.By drawing lots，they were evenly divided into open reduction group and minimally invasive plate group.In the open reduction group，open reduction with plate fixation was adopted，while in the minimally invasive plate group，minimal way for plate fixation was used.The excellent and good rate of wrist joints and incidence of complications including postoperative infection，slippage of internal fixation，arthralgia，and delayed fracture healing were observed.The HHS score of elbow joint and Gartland-Werley score of wrist joint before and after surgery，operation time，hospital stay，and healing time were compared.Results Compared with the open reduction group，excellent and good rate in the minimally invasive plate group was higher accounting for 98.00%，while the rate was 74.00% in the former group with a statistical difference (P<0.05).In the minimally invasive plate group，the incidence of complications including postoperative infection，slippage of internal fixation，arthralgia，and delayed fracture healing was much lower，which was displayed a statistical difference (P<0.05).Before surgery，the HHS score of elbow joint and Gartland-Werley score of wrist joint were similar without statistical differences in both groups (P>0.05).After surgery，the HHS score and Gartland-Werley score were greatly improved compared with those before with statistical differences (P<0.05).The improvement in the minimally invasive plate group was much higher than that of open reduction group，with a statistical difference (P<0.05).The operation time，hospital stay，and healing time in the minimally invasive plate group were much shorter in comparison with those in the open reduction group with statistical differences (P<0.05).Conclusion Minimally invasive plate fixation can obtain a definite effect on treating ulnar fracture at advantages of simple performance，small wound，and few postoperative complications，and can shorten hospital stay，accelerate bone fracture healing，and improve patient′s elbow joint and wrist joint functions，which is worthy of promotion. (许俊民 刘长志 肖凯敏 胡斌)
[关键词]微创钢板内固定；尺骨骨折；疗效
[中图分类号] R683 [文献标识码] A [文章编号] 1674-4721(2016)08(a)-0091-04
[Abstract]Objective To study the effect of minimally invasive plate fixation in the treatment of ulnar fracture.Methods From February 2013 to February 2015，100 patients with ulnar fractures admitted into our hospital were selected.By drawing lots，they were evenly divided into open reduction group and minimally invasive plate group.In the open reduction group，open reduction with plate fixation was adopted，while in the minimally invasive plate group，minimal way for plate fixation was used.The excellent and good rate of wrist joints and incidence of complications including postoperative infection，slippage of internal fixation，arthralgia，and delayed fracture healing were observed.The HHS score of elbow joint and Gartland-Werley score of wrist joint before and after surgery，operation time，hospital stay，and healing time were compared.Results Compared with the open reduction group，excellent and good rate in the minimally invasive plate group was higher accounting for 98.00%，while the rate was 74.00% in the former group with a statistical difference (P<0.05).In the minimally invasive plate group，the incidence of complications including postoperative infection，slippage of internal fixation，arthralgia，and delayed fracture healing was much lower，which was displayed a statistical difference (P<0.05).Before surgery，the HHS score of elbow joint and Gartland-Werley score of wrist joint were similar without statistical differences in both groups (P>0.05).After surgery，the HHS score and Gartland-Werley score were greatly improved compared with those before with statistical differences (P<0.05).The improvement in the minimally invasive plate group was much higher than that of open reduction group，with a statistical difference (P<0.05).The operation time，hospital stay，and healing time in the minimally invasive plate group were much shorter in comparison with those in the open reduction group with statistical differences (P<0.05).Conclusion Minimally invasive plate fixation can obtain a definite effect on treating ulnar fracture at advantages of simple performance，small wound，and few postoperative complications，and can shorten hospital stay，accelerate bone fracture healing，and improve patient′s elbow joint and wrist joint functions，which is worthy of promotion. (许俊民 刘长志 肖凯敏 胡斌)