杜华立,刘华永.桡骨远端骨折切开复位内固定治疗失败的影响因素分析[J].中国烧伤创疡杂志,2023,35(1):54~57. |
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中文关键词: 桡骨远端骨折 切开复位内固定 治疗失败 Logistic 回归分析 影响因素 |
英文关键词:Distal radius fracture Open reduction and internal fixation Treatment failure Logistic regression analysis Influencing factor |
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中文摘要: |
【摘要】 目的 探讨分析桡骨远端骨折切开复位内固定治疗失败的影响因素。 方法 选取 2020 年 5 月至2021 年 5 月驻马店魏道德骨科医院收治的 60 例拟行切开复位内固定术治疗的桡骨远端骨折患者作为研究对象,收集患者性别、年龄、受伤原因、受伤至手术时间、骨折 AO 分型、是否合并糖尿病、是否合并高血压、是否合并骨质疏松、手术时间等资料, 并根据患者切开复位内固定治疗是否失败将其分为失败组与成功组, 多因素Logistic回归分析桡骨远端骨折切开复位内固定治疗失败的相关影响因素。 结果 60 例桡骨远端骨折患者行切开复位内固定术治疗 1 个月后, 12 例 (20. 0%) 患者治疗失败, 设为失败组; 余 48 例 (80. 0%) 患者治疗成功,设为成功组。 单因素分析结果显示, 失败组受伤至手术时间≤5 d、骨折 AO 分型为 C 型、合并糖尿病、合并骨质疏松患者比例明显高于成功组 (χ 2 = 12. 273、18. 504、10. 855、15. 745, P < 0. 001、P < 0. 001、P = 0. 001、P <0. 001)。 多因素 Logistic 回归分析结果显示, 受伤至手术时间≤5 d、骨折 AO 分型为 C 型、合并糖尿病、合并骨质疏松是桡骨远端骨折切开复位内固定治疗失败的独立危险因素 (95%CI 为 2. 435 ~1763. 539、1. 307 ~444. 840?1. 321 ~176. 352、1. 186 ~289. 506, P =0. 013、0. 032、0. 029、0. 037)。 结论 桡骨远端骨折切开复位内固定治疗失败与受伤至手术时间、骨折 AO 分型、是否合并糖尿病、是否合并骨质疏松有关。 |
英文摘要: |
【Abstract】 Objective To analyze the factors influencing the failure of open reduction and internal fixation in treating distal radius fracture. Methods 60 patients with distal radius fracture, admitted to Wei Daode Orthopedics Hospital of Zhumadian from May 2020 to May 2021 for open reduction and internal fixation, were enrolled as research subjects, and their data were collected including sex, age, cause of injury, time from injury to operation, AO classification of fracture, combined with diabetes, hypertension and osteoporosis or not, and operation duration. The subjects were divided into failure group and success group according to whether the operation was successful or not. Multivariate Logistic regression analysis was carried out to analyze the factors influencing the failure of open reduction and internal fixation in treating distal radius fracture. Results At one month after the operation of open reduction and internal fixation, of the 60 patients, 12 cases(20. 0%) were evaluated as treatment failure, being set as failure group, and the other 48 cases (80. 0%) were evaluated treatment success, being set as success group. The results of univariate analysis showed that the proportions of patients with the time from injury to operation ≤5 days, type C of fracture AO classification, with diabetes and osteoporosis were all significantly higher in failure group compared with the success group (χ 2 = 12. 273, 18. 504, 10. 855 and 15. 745, P <0. 001, P <0. 001, P = 0. 001, P < 0. 001). Multivariate Logistic regression analysis showed that the time from injury to operation ≤5 days, AO classification of fracture: type C, and complicated with diabetes and osteoporosis were independent risk factors for failure of open reduction and internal fixation in treating distal radius fracture (95%CI: 2. 435 -1763. 539,1. 307 -444. 840, 1. 321 -176. 352, 1. 186 -289. 506, P =0. 013, 0. 032, 0. 029 and 0. 037). Conclusion The failure of open reduction and internal fixation in treating distal radius fracture is associated with the time from injury to operation, AO classification of fracture, and whether diabetes or osteoporosis occurred as comorbidities. |
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