肘前肱动脉与正中神经入路治疗尺骨冠状突骨折的临床效果分析  

Clinical effect analysis of antecubital brachial artery and median nerve approach in the treatment of ulna coracoid process fracture

作　　者：王贤芳[1] 刘章盛[1] 刘传霖 

机构地区：[1]江西省信丰县人民医院骨科,江西信丰341600

出　　处：《中国当代医药》2018年第1期67-69,共3页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2016ZSF302)

摘　　要：目的探讨肘前肱动脉与正中神经入路方式治疗尺骨冠状突骨折的临床效果。方法选取我院2015年4月~2017年4月收治的42例尺骨冠状突骨折患者作为研究对象。按照随机数字表法分为对照组(21例)和观察组(21例)。对照组采用内侧入路的方式进行治疗,观察组采用肘前肱动脉与正中神经入路治疗。比较两组患者的治疗有效率、手术时间、术中出血量、术后引流量、骨折愈合时间及并发症发生率。结果观察组的治疗有效率为95.23%,高于对照组的71.43%,差异有统计学意义(P<0.05)。观察组的手术时间、骨折愈合时间短于对照组,术中出血量、术后引流量少于对照组,差异有统计学意义(P<0.05)。观察组的术后并发症发生率为4.76%,显著低于对照组的28.57%,差异有统计学意义(P<0.05)。结论针对尺骨冠状突骨折患者采用肘前肱动脉与正中神经入路治疗效果显著,能够提升患者的有效率,降低临床不良反应发生率,值得推广。Objective To explore the clinical effect of antecubital braehial artery and median nerve approach in the treatment of patients with ulna coracoid process fracture.Methods 42 patients with ulna coracoid process fracture treat- ed in our hospital from April 2015 to April 2017 were enrolled as research objects.According to the random number table method,they were evenly divided into the control group （21 cases） and the observation group （21 cases）.The con- trol group was treated medial approach,and the observation group was treated with antecubital brachial artery and me- dian nerve approach.The therapeutic effectiveness rate,operation time,intraoperative amount of bleeding,postoperative volume of drainage,healing time of bone fracture,and the incidence of complications were compared between the two groups.Results The therapeutic effectiveness rate in the observation group was 95.23%,which was higher than that in the control group accounting for 71.43%,with a statistical difference （P〈O.05）.The indexes of operation time,healing time of bone fracture in the observation group was shorter than that in the control group,intraoperative amount of bleeding, postoperative volume of drainage in the observation group was less than that in the control group,with statistical differ- ences （P〈0.05）.The incidence rate of postoperative complications in the observation group was 4.76%,which was signifi- cantly lower than that in the control group accounting for 28.57%,which was displayed a statistical difference （P〈0.05）. Conclusion For patients with ulna coracoid process fractures,application of antecubital brachial artery and median nerve approach can obtain a remarkable effect by greatly increasing the cure rate and reducing the clinical adverse re- action,which is worthy of promotion.

关 键 词：尺骨冠状突骨折 肘前肱动脉与正中神经入路 治疗效果 

分 类 号：R683.41[医药卫生—骨科学]