解剖型锁定钢板治疗尺骨鹰嘴粉碎性骨折的临床效果  

Clinical effect of anatomical locking plate in treatment of comminuted olecranon fracture

作　　者：张超 ZHANG Chao(Department of Orthopaedics,Liaoyang Liaohua Hospital,Liaoning Province,Liaoyang111003,China)

机构地区：[1]辽宁省辽阳辽化医院骨科,辽宁辽阳111003

出　　处：《中国当代医药》2021年第2期81-83,90,共4页China Modern Medicine

摘　　要：目的探讨解剖型锁定钢板治疗尺骨鹰嘴粉碎性骨折的临床效果。方法选取2017年1月~2018年12月辽阳辽化医院收治的82例尺骨鹰嘴粉碎性骨折患者作为研究对象,根据随机数字表法分为观察组与对照组,每组各41例。对照组采用鹰嘴解剖板治疗,观察组采用解剖型锁定钢板治疗。比较两组手术相关指标、骨折愈合时间、肘关节恢复效果及术后并发症发生情况。结果两组患者的术中出血量、手术时间及骨折愈合时间比较,差异无统计学意义(P>0.05);观察组患者的术后肘关节功能恢复优良率(95.12%)高于对照组(78.05%),差异有统计学意义(P<0.05);观察组患者的术后并发症总发生率(4.88%)低于对照组(17.07%),差异有统计学意义(P<0.05)。结论对尺骨鹰嘴粉碎性骨折患者采用解剖型锁定钢板与鹰嘴解剖板治疗,均能达到治疗骨折的目的,但解剖型锁定钢板治疗后,在肘关节功能恢复方面优于鹰嘴解剖板,且并发症较少,治疗方法安全性高,更值得推广应用。Objective To explore the clinical effect of anatomical locking plate in the treatment of comminuted olecranon fractures.Methods A total of 82 patients with ulnar olecranon comminuted fractures admitted to Liaoyang Liaohua Hospital from January 2017 to December 2018 were selected as the research subjects,and they were divided into the control group and the observation group according to random number table method,with 41 cases in each group.The control group was treated with an olecranon dissection plate.The group was treated with anatomical locking plate,and the operation-related indexes,fracture healing time,elbow recovery effect and postoperative complications were compared between the two groups.Results There were no significant differences between the two groups in intraoperative bleeding,operation time and fracture healing time(P>0.05).The postoperative elbow joint function recovery rate(95.12%)of the observation group was higher than that of the control group(78.05%),the difference was statistically significant(P<0.05).The postoperative complication rate of patients in the observation group(4.88%)was lower than that of the control group(17.07%),the difference was statistically significant(P<0.05).Conclusion Satisfaction of psychology for medical students is generally high.Optimizing the curriculum,integrating the faculty,enriching the teaching and assessment methods,and adjusting the teaching materials may have positive effect on improvement of the quality of psychological education in clinical medical students.

关 键 词：尺骨鹰嘴粉碎性骨折 鹰嘴解剖板 解剖型锁定钢板 肘关节功能 并发症 

分 类 号：R687.3[医药卫生—骨科学]