不同内固定方法在肱骨髁间粉碎性骨折治疗中对比研究.docxVIP

不同内固定方法在肱骨課间粉碎性骨折治 疗中对比研究 【摘要】目的探讨三种不同手术方式治疗肱骨課 间粉碎性骨折临床效果，以期寻找最佳的手术方法，提高 临床治疗水平。方法选取2010年1月?2014年1月间收入 的50例肱骨課间粉碎性骨折患者为研究对象，分成三组， A组予交叉克氏针内固定，B组予Y型解剖钢板内固定，C 组予AO重建钢板内固定，比较三组术后临床效果。结果在 肘功能恢复上，A组总有效率为62.5%、B组总有效率为 89. 47%. C组总有效率为60%；在总临床效果上，A组总有 效率为56. 25%. B组总有效率为89. 47%. C组总有效率为 53. 33%, B组和其他两组比较差异有统计学意义(P0. 05)o 结论Y型解剖钢板内固定治疗肱骨髒间粉碎性骨折临床效 果满意。 【关键词】内固定方法；肱骨課间粉碎性骨折；临床 效果 [Abstract] Objective To observe the clinical effect of three operations. Methods In the treatment of intercondylar comminuted fracture of humerus, for seeking the best operation method and improving the clinical treatment leveL Methods 50 cases with intercondylar comminuted fracture of humerus treated from January 2010 to January 2014 were selected as research objects and were divided into three groups? group A was treated with internal fixation of cross Kirschner, group B was treated with internal fixation of Y-type an atomic plate, and C group was treated with internal f ixa. tion of AO recons true tion pla te. The clinical effect of three groups was compared? ResuIts For recovery of elbow function, the total effective rate of A group was 62. 5%, that of B group was 89. 47% and that of C group was 60%. For clinical effect, the total effective rate was 56. 25%, that of B group was 89. 47% and that of C group was 53. 33%. The evident difference between B group and the other two groups has statistical significance (P0. 05)? Con elusion Int ernal fixation of Y-type anatomic plate in the treatment of intercondylar comminuted fracture of humerus has evident clinical effect? 【Key words 】 Internal fixation method ； Intercondylar comminuted fracture of humerus ； Clinical effect 肱骨課间粉碎性骨折多是在强大暴力下造成的骨折 目前手术治疗已经成为公认的方式，但内固定方法对术后 的功能影响性较大，良好的固定方法能恢复肘关节正常解 剖关节，保持了复位后骨折端稳定性，又能减少干扰或破 坏骨应承受的力学状态。本次研究就通过总结不同的内固定 方法，以期寻找最佳的治疗方法，提高临床诊治水平。 1资料与方法 1. 1 一般资料 选取2010年1月?2014年1月间收入 的50例肱骨課间粉碎性骨折患者为研究对象，分成三组。 从表1看出，三组在性别、年龄、受伤原因等方面比较差 异无统计学意义，P0. 05,具有可比性。肱骨課间粉碎性 骨折诊断标准均结合临床表现、影像学检查等确诊。 1. 2方法所有患者在臂丛或全身麻醉后取仰卧位，上 肢扎止血带，采用