目的 观察手术与保守两种治疗方法对于桡骨远端骨折的疗效差异。方法 将住院治疗的桡骨远端骨折患者随机分为两组,保守治疗组和手术治疗组,比较两组患者治疗半年后骨折部位、腕关节尺侧疼痛情况及影像学疗效差异。结果 手术治疗组患者骨折部位及腕关节尺侧的VAS疼痛评分低于保守治疗组,且影像学疗效评估优良率更高,差异有统计学意义(P＜0.05)。结论 手术治疗桡骨远端骨折患者的临床疗效较保守治疗更为显著,不仅可以显著降低患者术后的疼痛度,而且可以提高固定效果,值得临床推广使用。

Objective To observe the difference in curative effects between surgical treatment and conservative treatment on distal radius fracture.Methods The hospitalized patients with distal radius fractures were randomly divided into a conservative treatment group and a surgical treatment group.Comparisons in the pain levels of fracture site and ulnar wrist and the medical imaging evaluation results were made between the two groups.Results The surgical treatment group showed a lower score of VAS pain in fracture site and ulnar wrist and a higher excellent and good rate of imaging evaluation than the conservative group,and the differences were statistically significant (P<0.05).Conclusion Surgical treatment for distal radius fractures is more effective than conservative treatment,with less postoperative pain and improved fixation effect,thus is worthy of clinical promotion.