微创钢板内固定术治疗尺骨骨折的效果及预后影响因素分析

doi:10.3969/j.issn.1001-8131.2022.02.006

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摘要目的分析微创钢板内固定术治疗尺骨骨折的效果及预后影响因素分析。方法选取尺骨骨折患者70例为研究对象,依据手术方式分为观察组（微创钢板内固定,n=40）和对照组（切开复位钢板内固定,n=30）,对比其围术期指标及并发症发生率,采用Gartland-Werly评分比较两组术后6个月内腕关节功能,同时依据Gartland-Werly评分将观察组分为预后良好组（评分0~8分）、预后不良组（评分≥9分）,分析其预后影响因素。结果观察组手术时间、伤口愈合时间、住院时间、手术切口长度、并发症发生率小于对照组（P<0.05）;观察组术后3个月、6个月腕关节功能评分较对照组低（P<0.05）;预后良好组年龄、术后开始锻炼时间、合并同侧其他骨折、畸形愈合率与预后不良组对比差异有统计学意义（P<0.05）;Logistic回归分析显示年龄、术后开始锻炼时间是影响预后的独立危险因素（P<0.05）。结论微创钢板内固定治疗尺骨骨折疗效较切开复位钢板内固定术好,有利于腕关节功能恢复,但年龄、术后开始锻炼时间仍是影响预后的独立危险因素,建议在术后采取针对性干预措施。

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	王林

关键词 ：微创钢板内固定, 尺骨骨折, 腕关节功能, 预后, 影响因素

Abstract：Objective The aim of this study was to analyze the effects and prognostic factors of minimally invasive plate fixation in the treatment of ulnar fractures.Methods 70 patients with ulnar fractures were enrolled in the study.According to the surgical method,they were divided into the observation group（treated by minimally invasive plate fixation,n=40）and control group（treated by open reduction and plate internal fixation,n=30）.The perioperative parameters and complications were compared.The wrist function was evaluated with the Gartland-Werly score,and according to the Gartland-Werly score,patients in the observation group were divided into the good prognosis group（0~8 points）and the poor prognosis group（≥ 9 points）,and the influencing factors of prognosis were analyzed.Results The surgical time,wound healing time,length of hospital stay,length of incision and the incidence of complications in the observation group were shorter,smaller or lower than those in the control group（P<0.05）.The scores of wrist function in the observation group at 3 months and 6 months after surgery were lower than those in the control group（P<0.05）.There were significant differences in age,postoperative time to start exercising,with other fractures on the same side and the rate of malunion between the good prognosis and the poor prognosis group（P<0.05）.Logistic regression analysis showed that age and postoperative exercise time were independent risk factors for prognosis（P<0.05）.Conclusion The effect of minimally invasive plate fixation is better than that of open reduction and internal fixation in the treatment of ulnar fractures.The former is conducive to the recovery of wrist function.Age and postoperative exercise time are independent risk factors for the prognosis,and targeted intervention measures should be taken after surgery.

Key words： Minimally invasive plate fixation Ulnar fracture Wrist function Prognosis Influencing factors

收稿日期: 2021-02-01

PACS:

R681.7

引用本文:

王林. 微创钢板内固定术治疗尺骨骨折的效果及预后影响因素分析[J]. 哈尔滨医药, 2022, 42(2): 16-18.
Wang Lin. Effects and Prognostic Factors of Minimally Invasive Plate Fixation in the Treatment of Ulnar Fractures. journal1, 2022, 42(2): 16-18.

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http://www.hrbyybjb.org.cn/CN/10.3969/j.issn.1001-8131.2022.02.006 或 http://www.hrbyybjb.org.cn/CN/Y2022/V42/I2/16

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