【摘要】 目的：比较外固定架固定术与切开复位内固定术治疗桡骨远端骨折患者的效果。方法：回顾性分析2020年12月至2023年12月南乐中兴医院收治的60例桡骨远端骨折患者的临床资料，根据手术方法不同将其分为观察组（n=30）与对照组（n=30）。观察组采用外固定架固定术治疗，对照组采用切开复位内固定术治疗，比较两组围术期指标（手术时间、术中出血量、住院时间、骨折愈合时间）水平、手术前后炎性因子[血清C反应蛋白（CRP）、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)]水平、术后6个月腕关节功能指标[腕关节桡侧偏、尺侧偏、背伸、屈曲活动范围、改良梅奥腕关节功能评分（MMWS）]水平和术后6个月并发症发生率。结果：观察组手术时间、住院时间、骨折愈合时间均短于对照组，术中出血量少于对照组，差异有统计学意义（P<0.05）；术后3、7 d，两组CRP、IL-1β、IL-6水平均高于术前，但观察组低于对照组，差异有统计学意义（P<0.05）；观察组术后6个月腕关节桡侧偏、尺侧偏、背伸、屈曲活动度均大于对照组，MMWS评分高于对照组，差异有统计学意义（P<0.05）；两组并发生发生率比较，差异无统计学意义（P>0.05）。结论：外固定架固定术治疗桡骨远端骨折患者可提高腕关节功能指标水平，改善围术期指标和炎性因子水平，效果优于切开复位内固定术治疗。更多还原

【Abstract】 Objective: To compare effects of external fixator fixation and open reduction and internal fixation in treatment of patients with distal radius fractures. Methods: The clinical data of 60 patients with distal radius fractures admitted to Nanle Zhongxing hospital from December 2020 to December 2023 were retrospectively analyzed. According to different surgical methods, they were divided into observation group(n=30) and control group(n=30). The observation group was treated with external fixator fixation, while the control group was treated with open reduction and internal fixation. The perioperative indexes(operation time, intraoperative blood loss, hospitalization time, fracture healing time) levels, the levels of inflammatory factors [serum C-reactive protein(CRP), interleukin-1β(IL-1β), interleukin-6(IL-6)] before and after the surgery, the levels of wrist function indexes [radial deviation, ulnar deviation, dorsal extension, flexion range of motion, modified Mayo wrist score(MMWS)] 6 months after the surgery, and the incidence of complications 6 months after the surgery were compared between the two groups. Results: The operation time, the hospitalization time and the fracture healing time of the observation group were shorter than those of the control group, the intraoperative blood loss was less than that of the control group, and the differences were statistically significant(P<0.05). At 3 and 7 days after the surgery, the levels of CRP,IL-1β and IL-6 in the two groups were higher than those before the surgery, but those in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05). At 6 months after the surgery, the radial deviation, the ulnar deviation, the dorsal extension and the flexion range of motion of wrist joint in the observation group were bigger than those in the control group, the MMWS score was higher than that in the control group, and the differences were statistically significant(P<0.05). However, there was no significant difference in the incidence of complications between the two groups(P>0.05). Conclusions: External fixator fixation in the treatment of the patients with distal radius fractures can improve the levels of wrist function indexes and reduce the levels of perioperative indexes and inflammatory factors. Moreover, it is superior to open reduction and internal fixation.更多还原