肘前肱动脉与正中神经入路治疗尺骨冠状突骨折临床效果分析.docVIP

肘前肱动脉与正中神经入路治疗尺骨冠状突骨折临床效果分析 　　[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（P0.05）。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（P0.05）。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（P0.05）。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。 　　[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 　　[中图分类号] R683.41 [文献标识码] A [文章编号] 1674-4721（2018）1（a）-0067-03 　　[Abstract]Objective To explore the clinical effect of antecubital brachial artery and median nerve approach in the treatment of patients with ulna coracoid process fracture.Methods 42 patients with ulna coracoid process fracture treated 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 control group was treated medial approach，and the observation group was treated with antecubital brachial artery and median 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 （P0.05）.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 differences （P0.05）.The incidence rate of postoperative complications in the observation group was 4.76%，which was significantly lower than that in the control group accounting