后方入路肱骨远端关节外解剖LCP内固定治疗肱骨骨折的临床疗效及对患者MEPS评分的影响  

Therapeutic effect of the distal humeral extra-articular LCP internal fixation via posterior approach in the pa⁃tients with humeral fracture and its influence on MEPS

作　　者：李海勋 徐毅 陈虹炉 李智豪 LI Haixun;XU Yi;CHEN Honglu(Department of Orthopaedics,The First People's Hospital of Yongkang City,Yongkang 321300,China)

机构地区：[1]浙江省永康市第一人民医院骨科,浙江永康321300

出　　处：《全科医学临床与教育》2021年第2期141-144,共4页Clinical Education of General Practice

摘　　要：目的探讨后方入路肱骨远端关节外解剖锁定加压钢板(LCP)治疗肱骨骨折的临床疗效及对患者肘关节Mayo功能评分(MEPS)的影响。方法选取肱骨骨折患者96例,按照手术方式不同分为两组,对照组使用锁定接骨板治疗,研究组使用后方入路肱骨远端关节外解剖LCP内固定治疗。比较两组患者临床治疗效果以及MEPS评分。结果研究组临床疗效明显优于对照组(χ~2=6.70,P<0.05);研究组患者治疗后的优良率明显优于对照组,差异有统计学意义(χ~2=14.28,P<0.05);研究组手术时间、下床活动时间及住院天数均短于对照组,术中出血量少于对照组,差异均有统计学意义(t分别=57.69、9.06、51.20、27.53,P均<0.05)。研究组桡神经麻痹、骨折不愈合、伤口感染并发症发生率均明显低于对照组(χ~2分别=4.54、5.35、11.15,P均<0.05)。结论后方入路肱骨远端关节外解剖LCP内固定治疗肱骨骨折效果较好。Objective To discuss the therapeutic effect of the distal humeral extra-articular LCP internal fixation via posterior approach in the patients with humeral fracture and its influence on MEPS.Methods Totally 96 patients with humeral fracture were randomly divided into control group and research group.The control group received the locking humeral plate,the research group received the distal humeral extra-articular LCP internal fixation via posterior approach.Therapeutic effects and MEPS were compared.Results Clinical effects in the research group were significantly better than those in the control group(χ2=6.70,P<0.05),the excellent and good rate in the research group was higher than that in the control group(χ2=14.28,P<0.05).The operation time,ambulant time and hospital stays in the research group were shorter than those in the control group,and the intraoperative bleeding volume in the research group was smaller than that in the control group(t=57.69,9.06,51.20,27.53,P<0.05).The incidences of radial nerve paralysis,non-union and wound infections in the research group were significantly lower than those in the control group(χ2=4.54,5.35,11.15,P<0.05).Conclusion The distal humeral extra-articular LCP internal fixation via posterior approach has better effect on treatment of humeral fracture.

关 键 词：肱骨骨折 锁定接骨板 后方入路肱骨远端关节外解剖LCP内固定 临床疗效 肘关节Mayo功能评分 

分 类 号：R687.3[医药卫生—骨科学]