改良式肘内外侧入路治疗肱骨髁上骨折疗效观察

Efficacy of modified lateral approach in treatment of elbow supracondylar fracture

目的探讨肱骨髁上骨折手术中选择改良式肘内外侧入路的治疗效果。方法回顾性分析新疆武警兵团指挥部医院外一科收治的94例肱骨髁上骨折患者的病历资料,将选择改良式肘内外侧入路行骨折手术的53例患者作为改良组,将同期选择传统手术入路的41例患者作为传统组,对比分析两组的治疗效果。结果改良组和传统组的平均手术时间分别为(65.54±10.27)min(,80.32±12.46)min;改良组和传统组的的术中出血量分别为(102.31±16.47)ml(,164.82±20.15)ml;改良组和传统组的骨痂形成时间分别为(24.66±5.89)d,(32.71±8.78)d;改良组患者的肘关节功能评价明显优于传统组(P=0.031),差异有统计学意义。结论肱骨髁上骨折手术中选择改良式肘内外侧入路可有效缩短手术时间,减少创伤,有利于患者康复。

Objective To investigate effect of the in treatment of elbow surgery supracondylar fracture to treatment select modified lateral approach.Methods A retrospective analysis of 94 cases admitted to our department in patients with supracondylar fractures of the medical records,will select the modified lateral approach elbow fractures in 53 patients,a modified group,will choose the traditional surgical approach over the same period,41 patients as the traditional group,comparative analysis of two groups treatment effect.Results Improved group and traditional group,the average operative time were（65.54±10.27）min,（80.32±12.46）min;modified group and traditional group of blood loss were（102.31±16.47）ml,（164.82±20.15）ml;modified group and the traditional group of callus formation time were（24.66±5.89）d,（32.71±8.78）d;Improvement of elbow functional assessment of patients was significantly better than the traditional group（P=0.031）,the difference was statistically significant.Conclusions Supracondylar fracture elbow surgery in selected modified lateral approach can be effective in reducing operative time,less trauma,is conducive to patient recovery.