影响肱骨髁间骨折术后肘关节功能的相关因素分析  

A Logistic regression analysis of related factors for operation effects on humeralintercondylar fracture

作　　者：邹强[1] 宁廷民[1] 

机构地区：[1]解放军第88医院骨四科,山东泰安271000

出　　处：《中国骨与关节损伤杂志》2015年第5期484-486,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的探讨影响肱骨髁间骨折手术后肘关节功能的相关因素。方法回顾性分析自2002-03—2014-01经手术治疗并获得完整随访的肱骨髁间骨折187例的临床资料。采用非条件Logistic回归分析评价可能影响术后肘关节功能的因素。结果单因素分析显示骨折类型、手术时机、内固定方式、手术入路有统计学意义;非条件Logistic回归分析显示骨折类型、内固定方式、手术入路是影响肘关节术后功能的独立因素。结论骨折类型、内固定方式及手术入路是影响肱骨髁间骨折术后功能的独立因素,因此,肱骨髁间骨折患者的骨折分型有助于骨科医生对手术的预后进行判断;选择恰当的手术方式有助于获得相对满意的手术疗效。Objective To evaluate the clinical factors associated with operative effects in patients with humeral intercondylar fracture. Methods Totally 187 patients with humeral intercondylar fracture from Mar. 2002 to Jan. 2014 in our department were analyzed retrospectively. Functional results were evaluated according to the Mayo elbow performance score （MEPS）. The potential factors associated with operation effects in patients with humeral intercondylar fracture were evaluated by the method of Logistic regression. Results The single factor analysis showed that the type of fracture, the period of time from injury to operation, the type of internal fixation and the operative approach had statistical significance. Binary conditional logistic regression analysis showed that the type of fracture, the type of internal fixation and the operative approach were independent factors for post-operative elbow joint function in patients with humeral intercondylar fracture. Conclusion The type of fracture and operation mode are the main prognostic factors associated with post-operative elbow joint function. The prognosis of the humeral intercondylar fracture depends on the type of the fracture. It is important for the surgeon to select the proper operation mode intraoperatively.

关 键 词：肘关节 肱骨髁间骨折 肘关节功能 LOGISTIC回归分析 

分 类 号：R683.41[医药卫生—骨科学]