掌背侧入路在T型钢板治疗桡骨远端不稳定骨折中的疗效比较

Comparison of the Effect of Dorsal Volar Approach in the Treatment of Unstable Distal Radius Fractures with T-Shape Plate

摘要: 目的：对掌背侧入路在T型钢板治疗桡骨远端不稳定骨折患者的临床效果进行分析。方法：以我院2017年5月~2020年5月间收治的80例桡骨远端不稳定骨折患者为对象，所有患者均采用T型钢板治疗，按入路方式将其划分为对照组与观察组，各组患者40例，比较两组患者治疗效果。结果：对两组患者临床治疗效果进行比较，对照组临床有效率为75.00%；观察组患者总有效率为87.50%，无显著统计学差异；对两组腕关节主动的屈曲活动度进行比较，两组患者腕关节主动的屈曲活动度在治疗前无显著统计学差异(P > 0.05)；治疗后，两组患者腕关节主动屈曲活动度均有显著改善，观察组改善幅度明显比对照组大，差异均有统计学意义(P < 0.05)。结论：在桡骨远端不稳定骨折患者中采用T型钢板治疗可发挥出良好的治疗效果，在入路方式选择中应根据患者骨折情况来选择，提高临床治疗效果。

Abstract: Objective: To analyze the clinical effects of different approaches in the treatment of unstable distal radius fractures with T-shape plates. Methods: 80 patients with unstable distal radius fractures admitted to our hospital between May 2017 and May 2020 were treated as subjects. All patients were treated with T-shape plates, and they were divided into control groups and observations according to the approach. The treatment effect of the two groups of patients was compared and analyzed. Results: The clinical treatment effect of the two groups of patients was compared. The clinical effective rate of the control group was 75.00%; the total effective rate of the observation group was 87.50%, with no significant statistical difference. The active flexion range of the wrist joints of the two groups was compared, and there was no significant difference in the active flexion of the wrist of the patients of the two groups before treatment (P > 0.05); after treatment, the active flexion of the wrist of the two groups of patients was significantly improved, and the improvement in the observation group was significantly greater than that of the control group. The differences were statistically significant (P < 0.05). Conclusion: T-plate treatment can exert a good therapeutic effect in patients with unstable distal radius fractures. The choice of approach should be based on the fracture situation of the patient to improve the clinical treatment effect.