肱骨远端C型骨折3种手术入路方式的效果比较

发布时间：2018-08-01 15:59

【摘要】：目的探讨肱骨远端C型骨折手术入路的选择对术中操作、术后复健的影响。方法收集西安市北方医院2010年1月至2013年12月采取不同入路治疗肱骨远端C型骨折的患者51例,根据入路方式不同分为3组,即鹰嘴截骨入路组(n=17)、舌形瓣入路组(n=18)和肱三头肌两侧入路组(n=16),分析3种入路方式的操作时长、术后复健时长、失血情况等指标。结果1完成治疗后根据骨折的稳定程度、复健程度,一般为3~30 d,对3组作关节活动范围评定及Mayo肘关节功能评分,3组Mayo肘关节功能评分分别为(94.1±3.4)、(96.2±2.5)与(89.1±4.9)分,差异有统计学意义(P0.05)。2操作时长,鹰嘴截骨入路组最高、舌形瓣入路组最短;术后复健,舌形瓣入路组最慢、肱三头肌两侧入路组最快;失血情况,截骨入路组最重、肱三头肌两侧入路组最轻。结论肱三头肌两侧入路对肱骨远端C型骨折的治疗操作时长比鹰嘴截骨入路组短,且失血情况轻、术后复健快。
[Abstract]:Objective to investigate the effect of surgical approach on operation and rehabilitation of type C fracture of distal humerus. Methods from January 2010 to December 2013, 51 patients with type C fractures of distal humerus treated by different approaches were divided into 3 groups. The operative time, rehabilitation duration and blood loss of the three approaches were analyzed, including the olecranon osteotomy approach group (n ~ 17), tongue flap approach group (n ~ 18) and biceps brachii bilateral approach group (n ~ (16). Results 1According to the degree of stability and rehabilitation of fracture, the degree of rehabilitation was 30.30 days after the treatment. The range of joint motion and the score of Mayo elbow function were (94.1 卤3.4), (96.2 卤2.5) and (89.1 卤4.9), respectively. The difference was statistically significant (P0.05) .2 the operative time was the highest in the olecranon osteotomy approach group, and the shortest in the tongue flap approach group; in the rehabilitation group, the lingual flap approach group was the slowest, and the brachial triceps muscle bilateral approach group was the fastest; the blood loss was the most severe in the osteotomy approach group. Triceps brachii bilateral approach group was the lightest. Conclusion the operation time of bilateral approach of triceps brachii for type C fracture of distal humerus is shorter than that of the group treated by olecranon osteotomy.
【作者单位】：陕西省西安市北方医院骨科;
【分类号】：R687.3

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