Sanya Traditional Chinese Medicine Hospital
目的 分析两种钢板内固定术式在尺桡骨双骨折并发早期骨筋膜室综合征的疗效。方法 选取尺骨髓内钉加桡骨动力加压钢板内固定手术治疗的患者作为混合组，尺桡骨双钢板内固定手术治疗的患者作为双钢板组。比较两组的围手术期资料、随访结果及影像学评估结果。结果 与双钢板组比较，混合组患者切口长度、手术时间、骨折端骨膜剥离面积、术中出血量、术后引流量、住院时间均明显少于双钢板组（P＜0.01），且患者在术后第3、第5天的视觉模拟评分法(VAS)疼痛评分显著降低，影像学显示骨折愈合时间明显缩短，术后功能活动及总有效率显著改善（P<0.05）。结论 与双钢板组相比，应用混合组疗法治疗尺桡骨双骨折合并早期骨筋膜室综合征，可获得更优的围手术期效果和功能恢复状况，临床总有效率升高，术后并发症发生率及骨折愈合时间降低，具有应用优势
Objective To investigate the therapeutic effect of two surgical types of plate internal fixation on radial and ulnar fractures with early compartment syndrome. Methods The patients who underwent internal fixation of intramedullary nail and dynamic compression plate were included in the study group, and those who underwent double plate internal fixation in both ulna and radius were enrolled in the control group. Length of surgical incisions, operative time, periosteal dissection area at fracture site, intraoperative blood loss, postoperative drainage and hospital stay between the two groups were compared. Results Compared with the control group, the visual analogue scale(VAS) pain score of the study group on the 3rd and 5th day after operation was significantly reduced, the healing time of fracture was significantly shortened, and functional activity and overall effectiveness were significantly improved (P < 0.05). Conclusion The patients who underwent internal fixation of intramedullary nail and dynamic compression plate had a better clinical efficiency and lower rate of postoperative complications than those who received double plate internal fixation for both radial and ulnar fractures with early compartment syndrome.