摘要
目的:探讨AO-C型肱骨远端骨折患者予以经尺骨鹰嘴截骨入路的疗效。方法:选取2020年5月—2022年5月顺昌县医院收治的60例AO-C型肱骨远端骨折患者为研究对象,按随机数表分为对照组(30例,经肱三头肌内外侧入路治疗)、观察组(30例,经尺骨鹰嘴截骨入路治疗),观察两组手术指标、视觉模拟评分法(visual analogue scale,VAS)评分、肘关节恢复情况及并发症等指标水平变化情况。结果:观察组手术时间、术中出血量均优于对照组,差异有统计学意义(P<0.05);术后3个月,观察组VAS评分低于对照组,差异有统计学意义(P<0.05)。术后6个月,观察组Mayo评分高于对照组,差异有统计学意义(P<0.05);术后6个月,观察组肘关节屈曲、旋后、背伸、旋前等活动度均大于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论:相较于经肱三头肌内外侧入路,临床治疗AO-C型肱骨远端骨折患者中予以经尺骨鹰嘴截骨入路,能缩短手术时间,减小术中出血量与疼痛度,提升肘关节功能;还可控制并发症,具有显著的临床效果。
Objective:To investigate the clinical effect of AO-C type distal humeral fracture by transulnar olecranon osteotomy.Method:From May 2020 to May 2022,60 patients with AO-C type distal humeral fracture treated in Shunchang County Hospital were selected and randomly divided into control group(n=30,treated by medial-lateral of triceps brachii approach)and observation group(n=30,treated by transulnar olecranon osteotomy),the surgical indexes,visual analogue scale(VAS)score,recovery of elbow joint and complications were observed.Result:The operation time and intraoperative blood loss in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).Three months after surgery,VAS score of observation group was lower than control group,the difference was statistically significant(P<0.05).Six months after surgery,Mayo score of observation group was higher than control group,the difference was statistically significant(P<0.05).Six months after surgery,the range of motion of elbow joint flexion,supination,dorsi extension and pronation in the observation group were greater than those in the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Compared with the medial-lateral of triceps brachii approach,transulnar olecranon osteotomy can shorten the operation time in patients with AO-C type distal humeral fractures,reduce the amount of bleeding and pain,it can promote the quick recovery of elbow joint function,reduce the complications effectively,and obtain the remarkable clinical effect.
作者
周文彬
ZHOU Wenbin(Shunchang County Hospital,Shunchang 353200,China)
出处
《中外医学研究》
2023年第16期57-60,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH