徐宁路 米伟

【摘 要】目的：分析桡骨远端不稳定性骨折患者应用外固定架的治疗效果。方法：回顾性分析2018年6月-2019年6月时段内我院收治的58例桡骨远端不稳定性骨折患者的治疗资料，参考治疗方案如下分组：29例接受外固定架+克氏针固定术治疗的患者为实验组，29例接受石膏外固定的患者为对照组，比较两组治疗后的VAS评分与再移位发生率。结果：实验组VAS评分低于对照组，且再移位发生率为6.90%，低于对照组的27.59%，数据组间差异可见统计学意义（P<0.05）。结论：桡骨远端不稳定性骨折患者接受外固定架+克氏针固定术治疗，疼痛程度较低，且再移位风险较小，有利于患者预后发展。

【关键词】桡骨远端不稳定性骨折;外固定架;克氏针;石膏

【中图分类号】R687.3 【文献标识码】B    【文章编号】1002-8714（2020）07-0163-02

【Abstract】 Objective： To analyze the effect of external fixation on patients with unstable fractures of the distal radius. Methods： A retrospective analysis of the treatment data of 58 patients with unstable fractures of the distal radius during the period from June 2018 to June 2019. The treatment group was referenced as follows： 29 patients received external fixator + Kirschner wire The patients treated with fixation were the experimental group， and the 29 patients who received external fixation with gypsum were used as the control group. The VAS score and the rate of retransposition after treatment were compared between the two groups. Results： The VAS score of the experimental group was lower than that of the control group， and the incidence of reshift was 6.90%， which was lower than 27.59% of the control group. The difference between the data groups was statistically significant （P <0.05）. Conclusion： Patients with unstable fractures of the distal radius who received external fixation and Kirschner wire fixation have lower pain and less risk of re-displacement， which is conducive to the development of prognosis.

【Keywords】 unstable distal radius fracture; external fixator; Kirschner wire; plaster

橈骨远端骨折在全部骨折中的占比约为1/6，若患者为稳定性骨折，临床多通过手法复位+石膏外固定进行治疗，效果较为可靠;而对比不可稳定性骨折，若采用手法复位+石膏外固定治疗方案，对位、固定效果无法得到保证，患者治疗后再次发生移位的风险性较大，愈合后存在关节功能障碍的可能[1]。本院2018年6月-2019年6月以外固定架+克氏针固定术治疗29例桡骨远端不稳定性骨折患者，取得了较好的治疗效果，遂通过回顾性分析将研究报道如下：

1 资料与方法

1.1一般资料

回顾性分析2018年6月-2019年6月时段内我院收治的58例桡骨远端不稳定性骨折患者的治疗资料，纳入标准：①影像学检查确诊的患者;②本人或家属了解并授权本次研究的患者;排除标注：①合并严重性脏器官功能障碍的患者;②合并严重性传染疾病的患者;③合并其他系统功能……