【摘要】目的：探讨腕关节镜联合切开复位内固定治疗桡骨远端骨折的临床效果。方法：回顾性分析2020年2月—2022年2月68例桡骨远端骨折患者的临床资料，按手术方式分为两组各34例，观察组进行腕关节镜联合切开复位内固定治疗，对照组进行切开复位内固定治疗。比较两组手术指标、骨折愈合情况、术后12个月的Gartland - Werley 腕关节评分和腕关节活动度以及术后并发症。结果：观察组手术时间明显长于对照组(P<0.05)，Gartland - Werley 腕关节评分明显低于对照组(P<0.05)，两组手术出血量和骨折愈合时间比较无明显差异(P>0.05)。术后观察组腕关节活动度明显优于对照组(P<0.05)。观察组术后并发症发生率(5.88%)明显低于对照组(23.53%)(P<0.05)。结论：桡骨远端骨折采用腕关节镜联合切开复位内固定治疗，有利于减少术后并发症，同时促进腕关节功能恢复，减少活动受限。

    【关键词】腕关节镜；切开复位内固定；桡骨远端骨折

    Clinical study on the treatment of distal radius fracture by combined wrist arthroscopy with incision and internal fixation

    ZHANG Qiang

    Longxi County First People’s Hospital， Dingxi， Gansu 748100， China

    【Abstract】Objective： To investigate the clinical effect of wrist arthroscopy combined with incision and internal fixation in the treatment of distal radius fractures. Methods： The clinical data of 68 patients with distal radius fractures from February 2020 to February 2022 were retrospectively analyzed and divided into two groups of 34 patients each according to the surgical procedure， with the observation group treated with wrist arthroscopy combined with incision and internal fixation and the control group treated with incision and internal fixation. The surgical index ......