有手术适应证的不稳定桡骨远端骨折采取保守治疗与手术治疗的疗效观察(1)
摘要：目的 分析研讨有手术适应证的不稳定桡骨远端骨折采取保守治疗与手术治疗的临床疗效。方法 本次讨论中所研讨的72例均随机从我院2015年1月～2016年5月收治的不稳定桡骨远端骨折患者中筛选而出，随机将72例患者分为对照组和研究组，对照组采取保守治疗，研究组采取手术治疗。将两组治疗结果纳入对比讨论中。结果 研究组患者的总有效率91.67%比对照组72.22%要高，组间数据有统计学意义(P<0.05)；研究组患者并发症发生率5.56%比对照组22.22%要低，组间数据有统计学意义(P<0.05)。结论 对于有手术适应症的不稳定桡骨远端骨折采取手术治疗，其疗效显著，并发症少，安全性高，临床应用价值大。
关键词：不稳定桡骨远端骨折；手术适应症；手术治疗；保守治疗；临床疗效
Observation of Clinical Effect of Conservative and Surgical in Treatment of Unstable Distal Radius Fractures with Operative Indication
, 百拇医药
CHEN Chang-bo
(Department of Orthopaedics and Traumatology，The Affiliated Hanyang Hospital of Wuhan University of Science and Technology of Xintian Branch，Wuhan 430000， Hubei，China )
Abstract：Objective To analyze and probe into the clinical effects of conservative treatment and surgical treatment in treatment of unstable distal radius fractures with operative indication. Methods 72 patients who were discussed in this discussion were randomly selected from the patients with unstable distal radius fractures and who treated in our hospital from January，2015 to May，2016，and 72 patients were randomly divided into control group and study group.In the control group was treated with conservative treatment while in the study group were treated with surgery.Then，the results of the two groups were included in the comparison and discussion. Results The total effective rate in the study group was 91.67% ，which was higher than that in the control group of 72.22%， and the data was statistically significant (P<0.05)；The incidence of complications in the study group was 5.56%，which was lower than that in the control group of 22.22%， and the data was statistically significant (P<0.05).Conclusion The surgical treatment for the unstable distal radius fractures of the distal radius，which the clinical effect is significant， the complication is low， the security is high， thus the clinical application value are high.
, 百拇医药
Key words：Unstable distal radius fractures； Surgical indications；Surgical treatment；Conservative treatment；Clinical effect
不穩定桡骨远端骨折是临床骨折疾病中极为常见的。此病症好发于50岁以上中老年人群，且发病率较高，临床主要表现出腕关节处疼痛难耐，活动动能性障碍及肿胀畸形等，如果桡骨远端部位出现骨折，这样会严重影响到患者的生活质量。此次将72例患者纳入研讨中，对比分析给予患者手术治疗和保守治疗的临床疗效。具体报告如下：
1资料与方法
1.1一般资料 本次讨论中所研讨的72例均随机从我院2015年1月～2016年5月收治的不稳定桡骨远端骨折患者中筛选而出，72例患者各检查结果均显示满足WHO组织规定的桡骨远端骨折疾病判定标准[1]。随机将72例患者分为对照组和研究组，对照组36例中男27例，女9例，年龄34～79例，平均年龄(56.17±3.01)岁；其中10例为车祸，22例为摔伤，4例为其他情况。研究组36例中男29例，女7例，年龄35～81岁，平均年龄(57.04±2.97)岁；其中9例为车祸，24例为摔伤，3例为其他情况。从两组一般资料来看无明显差异(P>0.05)，具有可比性。, 百拇医药(陈昌博)
关键词：不稳定桡骨远端骨折；手术适应症；手术治疗；保守治疗；临床疗效
Observation of Clinical Effect of Conservative and Surgical in Treatment of Unstable Distal Radius Fractures with Operative Indication
, 百拇医药
CHEN Chang-bo
(Department of Orthopaedics and Traumatology，The Affiliated Hanyang Hospital of Wuhan University of Science and Technology of Xintian Branch，Wuhan 430000， Hubei，China )
Abstract：Objective To analyze and probe into the clinical effects of conservative treatment and surgical treatment in treatment of unstable distal radius fractures with operative indication. Methods 72 patients who were discussed in this discussion were randomly selected from the patients with unstable distal radius fractures and who treated in our hospital from January，2015 to May，2016，and 72 patients were randomly divided into control group and study group.In the control group was treated with conservative treatment while in the study group were treated with surgery.Then，the results of the two groups were included in the comparison and discussion. Results The total effective rate in the study group was 91.67% ，which was higher than that in the control group of 72.22%， and the data was statistically significant (P<0.05)；The incidence of complications in the study group was 5.56%，which was lower than that in the control group of 22.22%， and the data was statistically significant (P<0.05).Conclusion The surgical treatment for the unstable distal radius fractures of the distal radius，which the clinical effect is significant， the complication is low， the security is high， thus the clinical application value are high.
, 百拇医药
Key words：Unstable distal radius fractures； Surgical indications；Surgical treatment；Conservative treatment；Clinical effect
不穩定桡骨远端骨折是临床骨折疾病中极为常见的。此病症好发于50岁以上中老年人群，且发病率较高，临床主要表现出腕关节处疼痛难耐，活动动能性障碍及肿胀畸形等，如果桡骨远端部位出现骨折，这样会严重影响到患者的生活质量。此次将72例患者纳入研讨中，对比分析给予患者手术治疗和保守治疗的临床疗效。具体报告如下：
1资料与方法
1.1一般资料 本次讨论中所研讨的72例均随机从我院2015年1月～2016年5月收治的不稳定桡骨远端骨折患者中筛选而出，72例患者各检查结果均显示满足WHO组织规定的桡骨远端骨折疾病判定标准[1]。随机将72例患者分为对照组和研究组，对照组36例中男27例，女9例，年龄34～79例，平均年龄(56.17±3.01)岁；其中10例为车祸，22例为摔伤，4例为其他情况。研究组36例中男29例，女7例，年龄35～81岁，平均年龄(57.04±2.97)岁；其中9例为车祸，24例为摔伤，3例为其他情况。从两组一般资料来看无明显差异(P>0.05)，具有可比性。, 百拇医药(陈昌博)
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