中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
9期
1-3
,共3页
田大为%刘娜%谢祥仁%张功礼%钱炜%曹阳
田大為%劉娜%謝祥仁%張功禮%錢煒%曹暘
전대위%류나%사상인%장공례%전위%조양
肱骨髁间骨折%手术入路%临床疗效
肱骨髁間骨摺%手術入路%臨床療效
굉골과간골절%수술입로%림상료효
Humeral intercondylar fractures%Operation approachs%Clinical effect
目的 探讨经肱三头肌舌形瓣入路、尺骨鹰嘴截骨入路、肱三头肌两侧入路三种手术入路对肱骨髁间骨折治疗的临床疗效差异性.方法 回顾性研究十堰市人民医院2001年1月至2010年10月收治的复杂肱骨髁间骨折92例,分别采用不同手术入路,搜集手术时间、出血、伤口愈合率、骨折愈合率、肘关节功能评分等临床指标.结果 手术时间在肱三头肌舌形瓣组、尺骨鹰嘴截骨组和肱三头肌内外侧组分别为(98±31) min,(91±16) min,(132±31)min;出血分别为(70±15)ml、(60±32) ml、(120±30) ml；Mayo肘关节功能评分为(62±15)分、(89±9)分、(75±10)分；关节活动度分别为(76±29)°、(124±19)°、(103±31)°；优良率分别为53.6％、80％、66.6％.结论 肱骨髁间骨折治疗比较棘手,经尺骨鹰嘴截骨和经肱三头肌两侧入路为较佳方法,对于C1、C2型肱骨髁间骨折,可以选择经肱三头肌两侧入路,对于C3性骨折,应选择经尺骨鹰嘴截骨.
目的 探討經肱三頭肌舌形瓣入路、呎骨鷹嘴截骨入路、肱三頭肌兩側入路三種手術入路對肱骨髁間骨摺治療的臨床療效差異性.方法 迴顧性研究十堰市人民醫院2001年1月至2010年10月收治的複雜肱骨髁間骨摺92例,分彆採用不同手術入路,搜集手術時間、齣血、傷口愈閤率、骨摺愈閤率、肘關節功能評分等臨床指標.結果 手術時間在肱三頭肌舌形瓣組、呎骨鷹嘴截骨組和肱三頭肌內外側組分彆為(98±31) min,(91±16) min,(132±31)min;齣血分彆為(70±15)ml、(60±32) ml、(120±30) ml；Mayo肘關節功能評分為(62±15)分、(89±9)分、(75±10)分；關節活動度分彆為(76±29)°、(124±19)°、(103±31)°；優良率分彆為53.6％、80％、66.6％.結論 肱骨髁間骨摺治療比較棘手,經呎骨鷹嘴截骨和經肱三頭肌兩側入路為較佳方法,對于C1、C2型肱骨髁間骨摺,可以選擇經肱三頭肌兩側入路,對于C3性骨摺,應選擇經呎骨鷹嘴截骨.
목적 탐토경굉삼두기설형판입로、척골응취절골입로、굉삼두기량측입로삼충수술입로대굉골과간골절치료적림상료효차이성.방법 회고성연구십언시인민의원2001년1월지2010년10월수치적복잡굉골과간골절92례,분별채용불동수술입로,수집수술시간、출혈、상구유합솔、골절유합솔、주관절공능평분등림상지표.결과 수술시간재굉삼두기설형판조、척골응취절골조화굉삼두기내외측조분별위(98±31) min,(91±16) min,(132±31)min;출혈분별위(70±15)ml、(60±32) ml、(120±30) ml；Mayo주관절공능평분위(62±15)분、(89±9)분、(75±10)분；관절활동도분별위(76±29)°、(124±19)°、(103±31)°；우량솔분별위53.6％、80％、66.6％.결론 굉골과간골절치료비교극수,경척골응취절골화경굉삼두기량측입로위교가방법,대우C1、C2형굉골과간골절,가이선택경굉삼두기량측입로,대우C3성골절,응선택경척골응취절골.
Objective To investigate the treatment effect of humeral intercondylar fractures treated by open reduction and internal fixation via ulna olecranon osteotomy,bilateral approach through triceps brachii and TRAP on humeral intercondylar fractures.Methods Ninety-two cases of humeral intercondylar fractures admitted in the People' s Hospital of Shiyan,between January 2001 and October 2010,were treated by open reduction and internal fixation via three operation approachs.Datum of operation time,blood loss volume,would and fracture healing rate,Mayo' s elbow function score were collected.Results The mean operation time,blood loss volume,Mayo' s elbow function score,motion ranges,good and fair rate were (98 ± 31) min,(91 ± 16) min,(132 ± 31) min; (70 ± 15) ml,(60 ± 32) ml,(120 ±30)ml; 62 ± 15,89 ± 9,75 ± 10; (76 ± 29)°,(124 ± 19)°,(103 ± 31)°;53.6％,80％,66.6％ in three operation approachs.Conclusions Humeral intercondylar fractures defied the surgical treatment and approachs via ulna olecranon osteotomy,bilateral approach through triceps brachii were better than TRAP,bilateral approach through triceps brachii was better choice for type C1 and C2,otherwise approachs via ulna olecranon osteotomy for type C3.
