不同术式治疗肘关节骨折术后关节僵硬的临床效果比较.docVIP

不同术式治疗肘关节骨折术后关节僵硬的临床效果比较 　　[摘要] 目的 比较不同术式治疗肘关节骨折术后关节僵硬的临床效果。 方法 将2013年12月～2015年5月我院收治的45例肘关节骨折术后关节僵硬患者随机均分为观察组和对照组，对照组采用肘关节僵硬切开松解术进行治疗，观察组采用切开松解联合铰链式外固定支架进行治疗，比较两组患者的术后肘关节屈伸活动度和功能评分。 结果 两组术后肘关节屈伸活动度较术前明显增大，Mayo肘关节功能评分较术前明显升高，差异有统计学意义（P0.05）；观察组术后肘关节屈伸活动度明显大于对照组，功能评分明显高于对照组，差异有统计学意义（P0.05）；观察组的优良率为96.0%，明显高于对照组的75.0%，差异有统计学意义（P0.05）。 结论 切开松解术联合铰链式外固定支架治疗肘关节骨折术后关节僵硬有助于改善患者的肘关节功能，促进其术后恢复，可在临床上推广应用。 　　[关键词] 肘关节；关节僵硬；切开松解术；铰链式外固定支架 　　[中图分类号] R684 [文献标识码] A [文章编号] 1674-4721（2016）03（a）-0098-03 　　[Abstract] Objective To compare the clinical effect of different surgical method treating joint stiffness after elbow joint fracture operation. Methods 45 patients with joint stiffness after elbow joint fracture operation treated by our hospital from December 2013 to May 2015 were randomly and evenly divided into observation group and control group.Control group was treated by incision and loosening operation of elbow joint stiffness，while observation group was treated by incision and loosening combined with hinged external fixator，the range-of-motion of flexion-extension for elbow joint and function score after operation in patients between two groups was compared respectively. Results The range-of-motion of flexion-extension for elbow joint was obviously enlarged，and Mayo elbow function score was obviously increased after operation compared with before operation in two groups，and the difference was statistically significant （P0.05）；the range-of-motion of flexion-extension for elbow joint in observation group was obviously larger than that of control group，and function score in observation group was obviously higher than that of control group，and the difference was statistically significant （P0.05）；the excellent and good rate of observation group （96.0%） was significantly higher than that in control group （75.0%），and the difference was statistically significant （P0.05）. Conclusion Incision and loosening operation combined with hinged external fixator treating joint stiffne