中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
20期
137-139
,共3页
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
經呎骨鷹嘴截骨入路%經肱三頭肌兩側入路%肱骨髁間骨摺%肘關節功能
경척골응취절골입로%경굉삼두기량측입로%굉골과간골절%주관절공능
Trans-olecranon osteotomy approach%Trans-triceps bilateral approach%Humeral intercondylar fracture%Elbow joint function
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。
目的：分析經呎骨鷹嘴截骨與經肱三頭肌兩側入路改善肱骨髁間骨摺患者肘關節功能的手術效果。方法將85例肱骨髁間骨摺患者隨機分為兩組，呎骨鷹嘴組行經呎骨鷹嘴截骨入路手術，肱三頭肌組行經肱三頭肌兩側入路，觀察兩組患者手術和肘關節功能恢複情況。結果肱三頭肌組手術時間和術中齣血量高于呎骨鷹嘴組（P＜0.01）；肱三頭肌組Mayo肘關節功能評分和關節活動度優于呎骨鷹嘴組（P＜0.01）；肱三頭肌組優良率81.40%高于呎骨鷹嘴組的59.52%（P＜0.05）；呎骨鷹嘴組C3優良率26.19%明顯優于肱三頭肌組的9.30%（P＜0.05）。結論經呎骨鷹嘴截骨入路與經肱三頭肌兩側入路在改善肱骨髁間骨摺患者肘關節功能方麵各具優勢，前者適閤C3肱骨髁間骨摺患者，後者適閤C1或C2肱骨髁間骨摺患者。
목적：분석경척골응취절골여경굉삼두기량측입로개선굉골과간골절환자주관절공능적수술효과。방법장85례굉골과간골절환자수궤분위량조，척골응취조행경척골응취절골입로수술，굉삼두기조행경굉삼두기량측입로，관찰량조환자수술화주관절공능회복정황。결과굉삼두기조수술시간화술중출혈량고우척골응취조（P＜0.01）；굉삼두기조Mayo주관절공능평분화관절활동도우우척골응취조（P＜0.01）；굉삼두기조우량솔81.40%고우척골응취조적59.52%（P＜0.05）；척골응취조C3우량솔26.19%명현우우굉삼두기조적9.30%（P＜0.05）。결론경척골응취절골입로여경굉삼두기량측입로재개선굉골과간골절환자주관절공능방면각구우세，전자괄합C3굉골과간골절환자，후자괄합C1혹C2굉골과간골절환자。
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 advan-tages 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.
