尺骨鹰嘴截骨入路与肱三头肌舌形瓣入路治疗肱骨髁间骨折疗效对比研究(1)
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[摘要] 目的 比较肱三头肌舌形瓣入路与尺骨鹰嘴截骨入路治疗肱骨髁间骨折的临床应用价值。 方法 选择我院肱骨髁间骨折患者55例，根据手术方法的不同将其分为观察组(n = 28)和对照组(n = 27)，观察组患者选择尺骨鹰嘴截骨入路，对照组选择肱三头肌舌形瓣入路。 结果 ①观察组患者治疗优良率为85.71%，显著高于对照组的59.26%(P =0.027 6)。②观察者患者平均手术时间显著长于对照组，平均出血量显著高于对照组(P < 0.01)。③观察者患者不良反应发生率为7.14%，与对照组的18.52%相比，差异无统计学意义(χ2=0.741，P = 0.389 3)。 结论 尺骨鹰嘴截骨入路治疗肱骨髁间骨折效果好，具有较高的临床应用价值。
[关键词] 肱骨髁间骨折；入路；尺骨鹰嘴截骨；肱三头肌
[中图分类号] R683 [文献标识码] A [文章编号] 1673-7210(2012)08(c)-0069-02
Comparative study of olecranon osteotomy approach and triceps tongue-shaped flap approach in the treatment of humeral condylar fracture
LI Shecai
Department of Orthopedics, the First Hospital of Yueyang City, Hu'nan Province, Yueyang 414000, China
[Abstract] Objective To compare the clinical applications of olecranon osteotomy approach and triceps tongue-shaped flap approach in the treatment of humeral condylar fracture. Methods 55 patients with humeral condylar fracture were selected and divided into observation group (28 cases) and control group (27 caees) with difference operations. The observation group was given the olecranon osteotomy approach, while the control group was given the triceps tongue-shaped flap approach. Results ①The excellent rate of the observation group was 85.71%, significantly higher than that of the control group (59.26%) (P = 0.027 6). ②The mean operative time and mean blood loss of the observation group were significantly longer and higher than that of the control (P < 0.01). ③There was no significant difference between the adverse reaction rate of the observation group (7.14%) and the control group (18.52%) (χ2 = 0.741, P = 0.389 3). Conclusion Olecranon osteotomy approach has a good effect in the treatment of humeral condylar fracture with a high clinical value.
[Key words] Intercondylar fracture of humerus; Approach; Olecranon osteotomy; Triceps ......
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