华臻;王建伟;尹恒;陆振飞;刘明明;潘腾;程建;潘娅岚;

• 1:江苏无锡市中医医院骨伤科
• 2:江苏徐州市中医院骨伤科
• 3:江苏徐州市中心医院骨科
• 4:南京中医药大学骨伤研究所

摘要(Abstract)：

[目的]分析探讨影响成人桡骨远端骨折非手术治疗后骨短缩的相关因素,为临床医生判断预后并及时采取防治措施提供依据。[方法]回顾性分析2015年7月~2017年7月因桡骨远端骨折在无锡市中医医院、徐州市中医院、徐州市中心医院接受非手术治疗的患者242例,依据影像学测量,分为短缩组和非短缩组。比较两组间桡骨短缩的相关因素,包括性别、年龄、损伤时间、致伤方式、患侧、骨折类型、治疗方式、早期短缩情况、固定时间、骨密度等变量,并采用逻辑回归分析桡骨短缩的风险因素。[结果]本研究242例患者中147例出现桡骨短缩,短缩率为60.74%。两组间在性别、损伤时间、患侧以及固定时间对桡骨短缩的差异无统计学意义(P>0.05),而在年龄、致伤方式、骨折类型、早期移位情况以及骨密度的差异具有统计学意义(P<0.05)。多因素逻辑回归分析显示:年龄(OR=1.759,P<0.001)、骨折类型(OR=0.408,P=0.017)、早期移位情况(OR=3.462,P=0.040)以及骨质疏松(OR=1.823,P=0.011)是桡骨远端骨折非手术治疗后桡骨短缩的发生相关因素(P<0.05)。[结论]桡骨远端骨折非手术治疗后桡骨短缩的发生率较高。高龄、骨折类型复杂、早期移位严重和骨质疏松是桡骨短缩的危险因素。

关键词(KeyWords)： 桡骨远端骨折;非手术治疗;桡骨短缩;危险因素

Abstract:

Keywords:

基金项目(Foundation): 无锡市科技发展资金项目(编号:CSE31N1514);; 无锡市卫计委科研项目(编号:Q201504)

作者(Author): 华臻;王建伟;尹恒;陆振飞;刘明明;潘腾;程建;潘娅岚;

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DOI:

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