双锁定钢板内固定术治疗成人肱骨髁间骨折疗效分析  

Therapeutic Effect of Double Locking Plate Internal Fixation for the Treatment of Adult Humeral Intercondylar Fracture

作　　者：吴兴 WU Xing(Orthopedics Department,Tengnan Hospital of Zaozhuang Mining Group,Zhaozhuang,Shandong Province,277606 China)

机构地区：[1]枣庄矿业集团滕南医院骨科

出　　处：《中外医疗》2019年第22期51-53,共3页China & Foreign Medical Treatment

摘　　要：目的分析双锁定钢板内固定术治疗成人肱骨髁间骨折的临床疗效。方法方便选择2016年12月—2017年12月该院收治的成人肱骨髁间骨折患者76例,依据随机原则将其划分两组,设为研究组(38例,双锁定钢板内固定术)和参照组(38例,常规固定治疗),对比手术用时、住院天数、治疗总有效率和并发症。结果研究组手术用时(118.24±25.97)min、住院天数(16.73±3.05)d短于参照组(132.95±31.46)min,(18.19±3.13)d,差异有统计学意义(t=2.2228,2.0593,P<0.05);研究组治疗总有效率(97.37%)显著高于参照组(88.95%),差异有统计学意义(χ^2=6.1758,P<0.05)。研究组情感职能(85.27±6.48)分、精神健康(87.95±5.71)分、生理职能(88.55±6.53)分、社会功能(87.54±5.06)分、精力(80.51±6.78)分和躯体疼痛(88.76±5.44)分等生活质量评分显著高于参照组情感职能(67.72±6.49)分、精神健康(69.67±5.33)分、生理职能(66.88±5.88)分、社会功能(70.95±5.52)分、精力(73.38±6.45)分和躯体疼痛(72.19±5.48)分,差异有统计学意义(t=11.7962,14.4263,15.2019,13.6570,4.6967,13.2282,P<0.05)。随访后发现,两组患者未出现严重并发症,如:切口皮肤坏死、深部感染和尺神经受损。结论成人肱骨髁间骨折应用双锁定钢板内固定术可获取良好的固定效果,同时可加快康复速度,效果满意。Objective To analyze the clinical efficacy of double locking plate internal fixation for the treatment of adult humeral intercondylar fractures.Methods 76 patients with adult humeral intercondylar fractures in the hospital from December 2016 to December 2017 were convenient selected and enrolled.The patients were divided into two groups according to the random principle.The study group(38 cases,double locking plate internal fixation)and reference group(38 cases,conventional fixed treatment),comparing the time of surgery,length of hospital stay,total effective rate of treatment and complications.Results The operation time(118.24±25.97)min and hospitalization days(16.73±3.05)d were shorter than the reference group(132.95±31.46)min,(18.19±3.13)d,the difference was statistically significant(t=2.222 8,2.059 3,P<0.05);the study group of the total effective rate of treatment(97.37%)was significantly higher than that of the reference group(88.95%),the difference was statistically significant(χ^2=6.175 8,P<0.05).The study group's emotional function(85.27±6.48)points,mental health(87.95±5.71)points,physiological function(88.55±6.53)points,social function(87.54±5.06)points,energy(80.51±6.78)points and physical pain(88.76±5.44)points,the grading quality of life score was significantly higher than the reference group's emotional function(67.72±6.49)points,mental health(69.67±5.33)points,physiological function(66.88±5.88)points,social function(70.95±5.52)points,energy(73.38±6.45)points and physical pain(72.19±5.48)points,the difference was statistically significant(t=11.796 2,14.426 3,15.201 9,13.657 0,4.696 7,13.228 2,P<0.05).After follow-up,no serious complications were found in the two groups,such as incision skin necrosis,deep infection,and ulnar nerve damage.Conclusion The use of double-lock plate internal fixation for adult humeral intercondylar fractures can achieve a good fixation effect,and at the same time accelerate the recovery speed with satisfactory results.

关 键 词：双锁定钢板内固定术 成人肱骨髁间骨折 临床效果 

分 类 号：R687[医药卫生—骨科学]