克氏针与钢板治疗桡骨远端骨折疗效比较

纪祥

一汽总医院烧伤手足整形外科,吉林长春130000

[摘要]目的比较克氏针与钢板在桡骨远端骨折治疗中的效果。方法整群选取2012年1月—2015年1月该院收治的桡骨远端骨折患者86例进行观察，分成两组，观察组43例采用切开复位钢板内固定，对照组43例采用闭合复位克氏钉固定。结果观察组优良率为83.7%，对照组优良率为72.1%，两组比较有差异有统计学意义（P＜0.05）；观察组并发症发生率为2.3%，对显著优于对照组并发症发生率16.3%（P＜0.05）。结论桡骨远端骨折切开复位钢板固定疗效显著优于克氏针，值得应用。

[关键词]克氏针；钢板；桡骨远端骨折

[中图分类号]R683.41

[文献标识码]A

[文章编号]1674-0742（2015）10（a）－0056-02

[作者简介]纪祥(1973.2-)，男，吉林白城人，硕士，副主任医师，研究方向:烧伤手足外科临床治疗。

Abstract[]Objective To compare the effect of the treatment of the distal radius fracture with the Kirschner wire and the steel plate.Methods An observation was conducted on the 86 patients with distal radius fractures treated in our department from January 2012 to January 2015.The patients were divided into 2 groups, the observation group and the control group with 43 cases in each.Patients in the observation group were treated by open reduction and internal fixation with steel plate, and those in the control group were treated by closed reduction and fixation with Kirschner wire.Results The good and excellent rate was 83.7% in the observation group, and that was 72.1% in the control group, the difference between the two groups was significant (P<0.05).The observation group had much lower incidence of complications than the control group(2.3% vs 16.3%)(P<0.05).Conclusion For the treatment of distal radius fracture, the curative effect of open reduction and internal fixation with steel plate is better than that of fixation with Kirschner wire, so the former is worthy of application.

收稿日期:(2015-06-19)

Comparison of the Efficacy of the Treatment of Distal Radius Fracture with Kirschner Wire and Steel Plate

JI Xiang

Department of Hand, Foot Burns and Plastic Surgery, FAW General Hospital, Changchun, Jilin Province, 130000 China

[Key words]Kirschner wire; Steel plate; Distal radius fracture

桡骨远端骨折是临床最常见的骨折部位。由于桡骨远端骨折多为粉碎性骨折，关节面破坏，保守的复位固定效果欠佳，常可导致骨折畸形愈合、活动受限、创伤性关节炎等后遗症的发生[1]。近年来，随着医疗技术的发展，克氏针与钢板内固定等技术在临床得到了广泛应用[2]。为比较克氏针与钢板在桡骨远端骨折治疗中的效果。该院2012年1月—2015年1月间对86例桡骨远端骨折患者分别采用克氏针和内固定进行治疗，现报道如下。

1　资料与方法

1.1一般资料

整群收集该院收治的桡骨远端骨折患者86例。随机分为两组，观察组43例，男31例，女12例，年龄16~77岁，平均（57.7± 1.2）岁；原因：摔伤23例，交通伤15例，坠落伤5例。分型：A3型 11例，B3型6例，C1型9例，C2型5例，C3型12例。……