论文部分内容阅读
目的 对比肘关节改良前侧手术入路与内侧手术入路治疗尺骨冠状突骨折临床效果.方法 选取2013年1月—2016年3月安阳市人民医院62例尺骨冠状突骨折患者进行回顾性分析,根据不同手术入路方式分组,各31例.A组行肘关节改良前侧手术入路内固定术,B组行内侧手术入路内固定术.对比两组手术一般情况、骨折愈合时间及手术前后肘关节功能(MEPS)评分及生活质量评分.结果 与B组比较,A组手术时间及骨折愈合时间短,术中出血量少,差异有统计学意义(P＜0.05);术前,两组MEPS评分及生活质量评分差异无统计学意义(P＞0.05),术后3个月,A组MEPS评分、生活质量评分高于B组,差异有统计学意义(P＜0.05).结论 肘关节改良前侧手术入路相比于内侧入路治疗尺骨冠状突骨折,手术效果更佳,利于患者术后关节功能恢复及生活质量的改善.“,”Objective To compare the clinical effect of the improved anterior approach and medial approach in the treatment of ulnar coronary fractures.Methods Selected 62 cases of ulna coracoid process fractures in our hospital from January 2013 to March 2016 to proceed retrospective analysis,and divide them into two group (each with 31 cases) according to different surgical approaches.Group A adopts elbow pre-modified internal fixation with anterior surgical approach,while Group B adopts internal fixation with medial surgical approach.General situation of operation,fracture healing time,surgery elbow function (MEPS) scores before and after surgey and life quality scores were compared.Results Compared with group B,the operation time and fracture healing time of group A were shorter and the blood loss during operation was less,the differences was statistically significant (P ＜ 0.05);there were no significant differences in MEPS scores and life quality scores between the two groups before operation (P ＞ 0.05),the MEPS scores and the life quality scores of group A were higher than those of group B at 3 months after operation (P ＜ 0.05).Conclusion The improved anterior approach of the elbow is better than the medial approach in the treatment of ulna coronary fractures,it is benefical to joint function recovery and life quality improvement.