CAJ | 학술논문

目的：探讨肱骨中下段骨折术中减少桡神经损伤的原因及最佳治疗方法。方法将186例肱骨中下段骨折患者随机分为两组，对照组93例采用保守治疗，观察组93例采用手术治疗，并比较两组骨折愈合情况、骨不连发生和桡神经损伤情况以及随访1年后肘关节功能恢复情况。结果观察组的愈合率为94.6%高于对照组的88.2%（P＜0.05），观察组的愈合时间多于对照组（P＜0.05），而肘关节功能评分低于对照组（P＜0.05），两组桡神经修复后功能观察组的优良率与对照组优良率相比较差异无统计学意义（P＞0.05）。结论非手术治疗在肱骨中下段骨折治疗中取得了较好的疗效，与手术治疗相比，在骨折愈合率相近的情况下非手术治疗所需愈合时间较短，肘关节功能恢复较好，桡神经损伤发生也较少，所以，根据患者的具体情况合理选择治疗方案也是提高患者疗效的关键。
목적：탐토굉골중하단골절술중감소뇨신경손상적원인급최가치료방법。방법장186례굉골중하단골절환자수궤분위량조，대조조93례채용보수치료，관찰조93례채용수술치료，병비교량조골절유합정황、골불련발생화뇨신경손상정황이급수방1년후주관절공능회복정황。결과관찰조적유합솔위94.6%고우대조조적88.2%（P＜0.05），관찰조적유합시간다우대조조（P＜0.05），이주관절공능평분저우대조조（P＜0.05），량조뇨신경수복후공능관찰조적우량솔여대조조우량솔상비교차이무통계학의의（P＞0.05）。결론비수술치료재굉골중하단골절치료중취득료교호적료효，여수술치료상비，재골절유합솔상근적정황하비수술치료소수유합시간교단，주관절공능회복교호，뇨신경손상발생야교소，소이，근거환자적구체정황합리선택치료방안야시제고환자료효적관건。
Objective To discuss the causes and best treatment of the humeral fracture surgery how to reduce radial nerve injury.Methods 186 patients with Humeral fracture were randomly divided into two groups,93 patients in the control group were treated by conservative treatment,and 93 patients in the observation group were treated by the surgical treatment,and then to compare the fracture healing,nonunion occurred and radial nerve injury as wel as folow-up one year after the recovery of elbow function.Results The healing rate of the observation group was 94.6% which was higher than the control group with 88.2%(P<0.05),the healing time of the observation group than the control group(P<0.05),and elbow function scores than the control group(P<0.05),two sets of radial nerve function after repair excelent rate of the observation group and the control group compared with excelent rate was no significant difference(P>0.05).Conclusion Non-surgical treatment of fractures of the treatment and achieved good effect,compared with surgery,fracture healing was similar in the case of non-surgical treatment required healing time is shorter,better functional recovery of elbow,the radial nerve injury is also less,so,according to the patient's specific circumstances reasonable treatment options to improve patient outcomes is critical.