| 老年人桡骨远端骨折影像学参数测量与临床疗效的关系 |
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投稿时间：2017-09-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 尹善青 |
YIN Shan-qing |
宁波市第六医院手外科, 浙江 宁波 315000 |
Department of Hand Surgery, Ningbo No.6 Hospital, Ningbo 315000, Zhejiang, China |
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| 黄耀鹏 |
HUANG Yao-peng |
宁波市第六医院手外科, 浙江 宁波 315000 |
Department of Hand Surgery, Ningbo No.6 Hospital, Ningbo 315000, Zhejiang, China |
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| 李苗钟 |
LI Miao-zhong |
宁波市第六医院手外科, 浙江 宁波 315000 |
Department of Hand Surgery, Ningbo No.6 Hospital, Ningbo 315000, Zhejiang, China |
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| 潘佳栋 |
PAN Jia-dong |
宁波市第六医院手外科, 浙江 宁波 315000 |
Department of Hand Surgery, Ningbo No.6 Hospital, Ningbo 315000, Zhejiang, China |
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| 丁文全 |
DING Wen-quan |
宁波市第六医院手外科, 浙江 宁波 315000 |
Department of Hand Surgery, Ningbo No.6 Hospital, Ningbo 315000, Zhejiang, China |
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| 王欣 |
WANG Xin |
宁波市第六医院手外科, 浙江 宁波 315000 |
Department of Hand Surgery, Ningbo No.6 Hospital, Ningbo 315000, Zhejiang, China |
dr.wangxin@qq.com |
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| 期刊信息：《中国骨伤》2018年，第31卷，第2期，第141-144页 |
| DOI：10.3969/j.issn.1003-0034.2018.02.009 |
| 基金项目: |
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中文摘要:
目的：通过分析老年人桡骨远端骨折患者经过保守治疗后各影像学参数和临床疗效之间的关系，从而提出老年人桡骨骨折行手法复位中最重要的影像学参数。
方法：回顾性分析自2012年5月至2015年5月行保守治疗的60岁以上的桡骨远端骨折患者45例，男17例，女28例；年龄60~89岁，平均64.49岁；随访测量影像学参数以并评价临床疗效。影像学参数是在标准腕关节X线片上测量掌倾角、桡骨高度、尺骨变异、尺偏角等；腕关节临床疗效通过Dienst评分标准来评价；多因素线性回归法分析各影像参数与临床疗效的关系。
结果：45例患者均获得随访，时间12~24个月，平均17.6个月；所有桡骨远端骨折获得愈合。末次随访根据Dienst评价：优27例，良10例，可6例，差2例。影像学参数指标中桡骨高、掌倾角以及尺骨变异和自测腕关节功能有明显相关性。当桡骨高 > 8.12 mm、掌倾角 > -1.64°、尺骨变异 < 4.05 mm时，Dienst功能结果优良率较高。
结论：桡骨高、掌倾角及尺骨变异等影像学参数与老年桡骨远端骨折的临床疗效恢复有相关性，其中最重要的参数为桡骨高度，提醒术者对于老年人桡骨骨折行手法复位时复位前后尤为注意该参数。 |
| 【关键词】桡骨骨折 治疗结果 影像学参数 |
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| Relationship between radiographic parameters and clinical outcomes of elderly patients with distal radius fractures |
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ABSTRACT
Objective: To analyze the relationship between radiographic parameters and clinical outcomes of patients with distal radius fractures in elderly patients following conservative treatment,and find the important radiographic parameters with distal radius fractures in elderly patients.
Methods: From May 2012 to May 2015,a retrospective analysis was performed of 45 elderly patients with distal radius fractures treated by conservative treatment,which including 17 males and 28 females with an average age of 64.49 years old from 60 to 89 years old. The imaging parameters were measured and the clinical efficacy was evaluated. The imaging parameters on the standard wrist joint X-ray picture were measured including metacarpal angle,the radius height,the ulna variation,the ulnar angle,and so on. The clinical effect of wrist joint was evaluated by Dienst score standard. Multiple factor linear regression was used to analyze the relationship between the image parameters and the clinical efficacy.
Results: All patients were followed up for 12 to 24 months with an average of 17.6 months. All fractures of the distal radius were healed. According to the Dienst evaluation,at the final follow-up the result was excellent in 27 cases,good in 10 cases,fair in 6 cases and poor in 2 cases. There was a significant correlation between the height of the radius,the angle of the palmar and the variation of the ulna and the function of the wrist joint in the imaging parameters. When the radius height more than 8.12 mm,the palmar angle more than -1.64 degree and the ulna variant less than 4.05 mm,the result of Dienst function was better.
Condusion: The imaging parameters such as the radius height,the palmar angle and the ulna variation are related to the recovery of the clinical efficacy of the distal radius fractures in the elderly. The most important parameter is the radius height,which reminds the surgeon to pay special attention to the reduction of the radius fracture in the elderly. |
| KEY WORDS Radius fractures Treatment outcome Radiographic parameters |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 尹善青,黄耀鹏,李苗钟,潘佳栋,丁文全,王欣.老年人桡骨远端骨折影像学参数测量与临床疗效的关系[J].中国骨伤,2018,31(2):141~144 |
| 英文格式: | YIN Shan-qing,HUANG Yao-peng,LI Miao-zhong,PAN Jia-dong,DING Wen-quan,WANG Xin.Relationship between radiographic parameters and clinical outcomes of elderly patients with distal radius fractures[J].zhongguo gu shang / China J Orthop Trauma ,2018,31(2):141~144 |
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