CAJ | 학술논문

目的：探讨肱骨远端Y型钢板内固定治疗肱骨髁间骨折的临床效果。方法：将我院2009年9月至2013年9月收治的肱骨髁间骨折患者100例随机分为研究组（n＝50）和对照组（n＝50），分别接受肱骨远端Y型钢板和双钢板内固定治疗，比较两组治疗效果。结果：研究组的固定成功率明显低于对照组（86％ vs 94．0％，P＜0．05），但两组患者的手术时间、术中出血量、及术后1年的Harris评分无明显差异（P＞0．05），而研究组患者术后2年的Harris评分显著高于对照组（P＜0．05）。结论：肱骨远端Y型钢板内固定治疗与双钢板内固定治疗肱骨髁间骨折均可取得满意度内固定效果，虽然Y型钢板固定成功率较低，但其远期疗效好，临床可根据患者实际情况选择合适的内固定方式。
목적：탐토굉골원단Y형강판내고정치료굉골과간골절적림상효과。방법：장아원2009년9월지2013년9월수치적굉골과간골절환자100례수궤분위연구조（n＝50）화대조조（n＝50），분별접수굉골원단Y형강판화쌍강판내고정치료，비교량조치료효과。결과：연구조적고정성공솔명현저우대조조（86％ vs 94．0％，P＜0．05），단량조환자적수술시간、술중출혈량、급술후1년적Harris평분무명현차이（P＞0．05），이연구조환자술후2년적Harris평분현저고우대조조（P＜0．05）。결론：굉골원단Y형강판내고정치료여쌍강판내고정치료굉골과간골절균가취득만의도내고정효과，수연Y형강판고정성공솔교저，단기원기료효호，림상가근거환자실제정황선택합괄적내고정방식。
Objective:To explore the clinical effect of humeral intercondylar fracture treated by type Y distal humeral plate internal fixation. Methods:100 patients with humeral intercondylar fracture were randomly divided into research group(n=50) and control group(n=50)from Sep 2009 to Sep 2013, and were received type Y distal humerus plate internal fixation and double plate accept double plate internal fixation respectively. The clinical effects were compared between the two groups. Results:The success rate of fixation in research group was significantly lower than that in the control group (86% vs 94%,P<0.05). Operation time,amount of bleeding during and after the operation, and Harris score after 1 years were no significant difference between the two groups (all P>0.05). But Harris score after 2 years in research group was significantly higher than that in the control group (P<0.05). Conclusion:Type Y distal humerus plate internal fixation treatment with double plate internal fixation for the treatment of humeral intercondylar fractures can obtain satisfaction effect of internal fixation of Y shaped steel plate,although the success rate is low,but its long-term effect is good,proper selection of internal fixation methods according to the actual situation of patients with clinical need.