黄宝泉

摘要： 目的 分析斜T型锁定加压钢板掌侧入路治疗对桡骨远端骨折患者临床效果及腕关节功能的影响。方法 选取本院2019年11月-2020年10月收治的70例桡骨远端骨折患者进行研究，以随机抽签法分组，各35例，对照组实施石膏外固定，观察组实施斜T型锁定加压钢板掌侧入路治疗。对比手术效果及腕关节恢复情况。结果 观察组患者术后桡骨高度较对照组高，掌倾角及尺偏角角度较对照组大（P<0.05）。观察腕关节优良率相比对照组更高（P<0.05）。结论 斜T型锁定加压钢板掌侧入路治疗对桡骨远端骨折效果好，有助于恢复腕关节功能。

关键词： 桡骨远端骨折;斜T型锁定加压钢板固定;掌侧入路;腕关节功能

[Abstract]Objective To analyze the clinical effect and wrist function of volar approach with oblique T-shaped locking compression plate in the treatment of distal radius fractures. Methods 70 cases of distal radius fractures in our hospital from November 2019 to October 2020 were selected and randomly divided into two groups，35 cases in each group. The control group was treated with plaster external fixation，and the observation group was treated with oblique T-shaped locking compression plate palmar approach. The operation effect and wrist joint recovery were compared. Results the height of radius in the observation group was higher than that in the control group，and the angle of palmar inclination and ulnar deviation in the observation group was larger than that in the control group（P < 0.05）. The excellent and good rate of wrist joint in the observation group was higher than that in the control group（P < 0.05）. Conclusion the volar approach of oblique T-shaped locking compression plate is effective for the treatment of distal radius fractures，which is helpful to the recovery of wrist function.

[Key words]distal radius fracture;Oblique T-shaped locking compression plate fixation;Volar approach;Wrist function

桡骨远端骨折为厂家的骨折类型，一般在桡骨远端2-3cm范围内发生，多伴随桡腕关节及下尺桡关节损伤【1】。临床治疗中，手法复位加班固定、石膏外固定等外固定治疗方法被认为难以有效促进关节面解剖复位，后期并发症较多【2】。近些年来斜T型锁定加压钢板掌侧入路逐渐应用在临床中，本次研究将这一治疗方式应用在桡骨远端骨折中，分析其应用价值。现报道如下。

1 资料与方法

1.1 一般资料

将2019年11月-2020年10月收治的70例桡骨远端骨折患者纳入研究，以随机抽签法分组，各35例。观察组，男24例，女11例，年龄25-64岁，平均（47.5±6.3）岁。对照组，男23例，女12例，年龄27-66岁，平均（47.2±5.7）岁。纳入标准：患者均经临床综合检查确诊桡骨远端骨折;患者及家属签订知情同意书;排除标准：合并其他严重器质性疾病者;凝血功能障碍者;病理性骨折或陈旧性骨折。……