有限切开锁定加压钢板内固定与闭合复位外固定架治疗桡骨远端c2型骨折的疗效比较

《有限切开锁定加压钢板内固定与闭合复位外固定架治疗桡骨远端c2型骨折的疗效比较》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、授予单位代码10089学号或申请号14076中国图书分类号R683.41HebeiMedicalUniversity硕士学位论文学术学位有限切开锁定加压钢板内固定与闭合复位外固定架治疗桡骨远端C2型骨折的疗效比较研究生：王国敬导师：马维教授专业：外科学二级学院：第二医院2018年3月目录中文摘要················································································1英文摘要·································

2、···············································4研究论文有限切开锁定加压钢板内固定与闭合复位外固定架治疗桡骨远端C2型骨折的疗效比较前言················································································8材料与方法·······································································9结果··············

3、································································12附图··············································································14附表··············································································15讨论··································

4、············································17结论··············································································23参考文献········································································23综述桡骨远端骨折的治疗进展···············································

5、···25致谢····················································································35个人简历··············································································36有限切开锁定加压钢板内固定与闭合复位外固定架固定治疗桡骨远端C2型骨折的疗效比较摘要目的：桡骨远端骨折是骨科最常见外伤之一，按照骨折AO/ASIF分型分为A、B、C型，C型骨折是

6、不稳定骨折，这一类骨折不仅指桡骨远端干骺端骨折，同时还累及关节面，它共分3个亚型，分为C1亚型：关节内2块骨折，干骺端无明显粉碎；C2亚型：关节内2块骨折，干骺端粉碎；C3亚型：关节内及干骺端骨折粉碎｡本文旨在比较有限切开复位锁定加压钢板内固定与闭合复位外固定架固定两种方法治疗桡骨远端C2型骨折的临床效果。方法：选择2014年3月～2017年3月期间住院的桡骨远端骨折79例。79例桡骨远端骨折中，男40例，女39例；年龄43～75岁，平均年龄52岁，按骨折AO/ASIF分型：均为C2型骨折，病例纳入标准：1.术前常规X线及腕关

7、节CT检查，按骨折AO分型，属于C2型桡骨远端骨折（关节内2块骨折，干骺端粉碎）；2.经手法复位石膏或夹板固定失败，存在骨折粉碎、骨折不稳定或潜在不稳定（复位后桡骨短缩＞3毫米，背倾＞10°，关节内骨折块明显移位或关节面台阶＞2毫米）；3.具有良好依从性，医患沟通正常，能够配合完成随访。病例排除：1.稳定型桡骨远端骨折的AO分型的A/B型及C1C3型骨折2.合并重要神经、血管、肌腱损伤者；3.开放性骨折污染严重者4.合并自身免疫性疾病、凝血功能障碍、血液系统疾病、严重器质性病变、意识障碍、重要脏器功能不全或恶性肿瘤者5.病理骨

8、折，6.年龄过大（>75岁）、听力障碍，存在精神障碍、依从性差，不能正常沟通、评价，无法随访者。急诊手术22例，余均在伤后3-5天内手术。随机分为2组：A组：手术在手术室臂丛阻滞麻醉下进行，患者采取仰卧位，于患肢上臂上气囊止血带止血，于患肢前臂桡骨远端做掌侧Henry切口，切