CAJ | 학술논문

目的：探讨尺神经前置对双锁定钢板内固定治疗肱骨髁间骨折患者临床疗效的影响。方法将我院骨科2008年2月～2013年2月收治的113例肱骨髁间骨折患者随机分为两组，两组均行双锁定钢板内固定，观察组在此基础上行尺神经前置手术，比较两组的临床疗效。结果观察组手术时间大于对照组，差异有统计学意义（P＜0.01），住院时间、骨折愈合时间小于对照组，差异有统计学意义（P＜0.01），两组手术出血量差异无统计学意义（P＞0.05）；观察组肘关节功能恢复情况优于对照组，差异有统计学意义（Z＝－2.177，P＝0.029）；术后两组并发症有切口红肿、皮下血肿、钢板断裂、神经损伤，差异无统计学意义（ P＞0.05），经对症治疗及综合护理，两组的并发症基本缓解。结论尺神经前置术在双锁定钢板内固定肱骨髁间骨折患者中具有促进临床疗效、改善肘关节功能和减少不良反应等特点。
목적：탐토척신경전치대쌍쇄정강판내고정치료굉골과간골절환자림상료효적영향。방법장아원골과2008년2월～2013년2월수치적113례굉골과간골절환자수궤분위량조，량조균행쌍쇄정강판내고정，관찰조재차기출상행척신경전치수술，비교량조적림상료효。결과관찰조수술시간대우대조조，차이유통계학의의（P＜0.01），주원시간、골절유합시간소우대조조，차이유통계학의의（P＜0.01），량조수술출혈량차이무통계학의의（P＞0.05）；관찰조주관절공능회복정황우우대조조，차이유통계학의의（Z＝－2.177，P＝0.029）；술후량조병발증유절구홍종、피하혈종、강판단렬、신경손상，차이무통계학의의（ P＞0.05），경대증치료급종합호리，량조적병발증기본완해。결론척신경전치술재쌍쇄정강판내고정굉골과간골절환자중구유촉진림상료효、개선주관절공능화감소불량반응등특점。
Objective To investigate the clinical efficacy of anterior transposition of the ulnar nerve for double locking plate fixation in the treatment of patients with humeral intercondylar fracture. Methods A total of 113 cases of humeral intercondylar fractures treated in our hospital from Feb. 2008 to Feb.2013 were randomly di-vided into two groups. Both groups underwent double locking plate fixation and the observation group was also per -formed ulnar nerve transposition. The clinical efficacy of the two groups was compared. Results Operation time of the observation group was more than that of the control group, the difference was statistically significant (P<0.01);while the hospitalization time, healing time of fracture was less than those of the control group, the difference was sta-tistically significant ( P<0.01 ). The bleeding during operation of two groups had no significant difference ( P>0.05);The function recovery of elbow joint of the observation group was better than that of the control group, the difference was statistically significant ( Z=-2.177,P=0.029);complications of the two groups after operation in-cluded incision swelling, subcutaneous hematoma, plate fracture, nerve injury and there was no significant difference (P>0.05).Complications of the two groups were relieved after symptomatic treatment and comprehensive care. Conclusion Double locking plate fixation combined with anterior transposition of the ulnar nerve for the treatment of humeral intercondylar fracture is helpful to the promotion of clinical efficacy and function recovery of the elbow joint and reduction of adverse effect.