摘要
目的分析经尺骨鹰嘴截骨与经肱三头肌两侧入路改善肱骨髁间骨折患者肘关节功能的手术效果。方法将85例肱骨髁间骨折患者随机分为两组,尺骨鹰嘴组行经尺骨鹰嘴截骨入路手术,肱三头肌组行经肱三头肌两侧入路,观察两组患者手术和肘关节功能恢复情况。结果肱三头肌组手术时间和术中出血量高于尺骨鹰嘴组(P<0.01);肱三头肌组Mayo肘关节功能评分和关节活动度优于尺骨鹰嘴组(P<0.01);肱三头肌组优良率81.40%高于尺骨鹰嘴组的59.52%(P<0.05);尺骨鹰嘴组C3优良率26.19%明显优于肱三头肌组的9.30%(P<0.05)。结论经尺骨鹰嘴截骨入路与经肱三头肌两侧入路在改善肱骨髁间骨折患者肘关节功能方面各具优势,前者适合C3肱骨髁间骨折患者,后者适合C1或C2肱骨髁间骨折患者。
Objective To analyze the surgical effects of trans-olecranon osteotomy approach and trans-triceps bilateral approach in improving the elbow joint function of patients with humeral intercondylar fractures. Methods Eighty-five patients with humeral intercondylar fractures were randomly divided into two groups. The olecranon group received trans-olecranon osteotomy approach surgery and the triceps group received trans-triceps bilateral approach surgery.The surgery and elbow joint function recovery situation of the two groups were observed. Results The triceps group had longer operative time and intraoperative blood loss higher than the olecranon group（P〈0.01）. The triceps group had better Mayo elbow joint function score and joint range of motion than the olecranon group（P〈0.01）. The excellent and good rate of the triceps group was 81.40%, which was higher than the 59.52% of the olecranon group（P〈0.05）. The C3 excellent and good rate of the olecranon group was 26.19%, which was significantly better than the 9.30% of the triceps group（P〈0.05）. Conclusion Trans-olecranon osteotomy approach and trans-triceps bilateral approach each has advantages in improving the elbow joint function of patients with humeral intercondylar fractures. The former is suitable for patients with C3 humeral intercondylar fractures and the latter C1 or C2 humeral intercondylar fractures.
出处
《中国现代医生》
2014年第20期137-139,共3页
China Modern Doctor
关键词
经尺骨鹰嘴截骨入路
经肱三头肌两侧入路
肱骨髁间骨折
肘关节功能
Trans-olecranon osteotomy approach
Trans-triceps bilateral approach
Humeral intercondylar fracture
Elbow joint function
