葛新

【摘要】 目的：分析關节镜微创手术辅助Wristore外固定架治疗桡骨远端关节内骨折的效果及对VAS评分的影响。方法：选取2016年10月-2019年10月本院收治的桡骨远端关节内骨折患者76例，按照随机数字表法将其分为研究组和对照组，每组38例。对照组采用传统手术方式治疗，研究采用关节镜辅助下微创手术治疗。对比两组的切口长度、手术时间、治疗前后VAS评分和Gartland-Werley腕关节功能评分，观察两组的治疗效果。结果：研究组切口长度和手术时间均短于对照组，差异均有统计学意义（P<0.05）。治疗1、2周后，两组患者的VAS评分均显著降低，且研究组VAS评分均低于对照组，差异均有统计学意义（P<0.05）。研究组的总有效率高于对照组，差异均有统计学意义（P<0.05）。治疗后，研究组患者的Gartland-Werley腕关节功能评分显著低于对照组，差异有统计学意义（P<0.05）。结论：采用关节镜辅助下的微创手术对桡骨远端关节内骨折患者进行治疗，对患者关节功能恢复有积极的意义，值得在临床上进一步推广应用。

【关键词】 关节镜微创手术 Wristore外固定架 桡骨远端关节内骨折 VAS评分

[Abstract] Objective： To analyze the effect of arthroscopy minimally invasive surgery with Wristore external fixator on intra-articular fracture of distal radius and its effect on VAS score. Method： A total of 76 patients with intra-articular fractures of the distal radius admitted to our hospital from October 2016 to October 2019 were selected. According to the random number table method， they were divided into study group and control group， 38 cases in each group. The control group was treated by traditional surgery， and the study group was treated with minimally invasive surgery assisted by arthroscope. The incision length， operation time， VAS score and Gartland-Werley wrist function score before and after treatment were compared between the two groups， the therapeutic effects of the two groups were observed. Result： The incision length and operation time in the study group were shorter than those in the control group， the differences were statistically significant （P<0.05）. After 1 and 2 weeks of treatment， VAS scores of both groups were significantly reduced， and VAS scores of the study group were lower than those of the control group， with statistically significant differences （P<0.05）. The total effective rate of the study group was higher than that of the control group， the difference was statistically significant （P<0.05）. After treatment， Gartland-Werley wrist function score in the study group was significantly lower than that in the control group， the difference was statistically significant （P<0.05）. Conclusion： Minimally invasive surgery assisted by arthroscopy for the treatment of intra-articular fractures of the distal radius has positive significance for the recovery of joint function of patients， and is worthy of further promotion and application in clinical practice.

[Key words] Arthroscopic minimally invasive surgery Wristore external fixture Intra-articular fracture of the distal radius VAS scoreFirst-authors address： Jiamusi City Central Hospital， Jiamusi 154002， China

目前，桡骨远端骨折属于临床上肢骨折中占比較大的一种，是骨折急诊处理量中比较多的，其发病人群主要在老年人以及儿童群体中。伴随着我国人口老龄化程度的逐渐加剧，桡骨远端骨折的发生情况正在逐渐增加[1]。现阶段，伴随着人们对于桡骨远端骨折的认识不断加深以及我国医疗技术的不断发展，腕关节由于其能够对关节面的平整程度和关节内的情况进行直视以及精准评估的优势，在临床桡骨远端骨折的治疗中正在逐渐被广泛应用[2]。目前，在临床逐步开展的关节镜辅助下的微创手术，具有效果好、创伤小等优势。本院选取桡骨远端骨折的患者76例，采用手术的方式对患者进行治疗，分析关节镜微创手术治疗桡骨远端关节内骨折的效果，现报道如下。

1 资料与方法

1.1 一般资料 选取2016年10月-2019年10月本院收治的桡骨远端关节内骨折患者76例。……