吳興

[摘要] 目的 分析雙鎖定鋼板內(nèi)固定術(shù)治療成人肱骨髁間骨折的臨床療效。方法 方便選擇2016年12月—2017年12月該院收治的成人肱骨髁間骨折患者76例，依據(jù)隨機(jī)原則將其劃分兩組，設(shè)為研究組（38例，雙鎖定鋼板內(nèi)固定術(shù)）和參照組（38例，常規(guī)固定治療），對比手術(shù)用時、住院天數(shù)、治療總有效率和并發(fā)癥。 結(jié)果 研究組手術(shù)用時（118.24±25.97）min、住院天數(shù)（16.73±3.05）d短于參照組（132.95±31.46）min，（18.19±3.13）d，差異有統(tǒng)計學(xué)意義（t=2.222 8， 2.059 3，P<0.05）;研究組治療總有效率（97.37%）顯著高于參照組（88.95%），差異有統(tǒng)計學(xué)意義（χ2=6.175 8，P<0.05）。研究組情感職能（85.27±6.48）分、精神健康（87.95±5.71）分、生理職能（88.55±6.53）分、社會功能（87.54±5.06）分、精力（80.51±6.78）分和軀體疼痛（88.76±5.44）分等生活質(zhì)量評分顯著高于參照組情感職能（67.72±6.49）分、精神健康（69.67±5.33）分、生理職能（66.88±5.88）分、社會功能（70.95±5.52）分、精力（73.38±6.45）分和軀體疼痛（72.19±5.48）分，差異有統(tǒng)計學(xué)意義（t=11.796 2，14.426 3， 15.201 9， 13.657 0， 4.696 7， 13.228 2，P<0.05）。隨訪后發(fā)現(xiàn)，兩組患者未出現(xiàn)嚴(yán)重并發(fā)癥，如：切口皮膚壞死、深部感染和尺神經(jīng)受損。 結(jié)論 成人肱骨髁間骨折應(yīng)用雙鎖定鋼板內(nèi)固定術(shù)可獲取良好的固定效果，同時可加快康復(fù)速度，效果滿意。

[關(guān)鍵詞] 雙鎖定鋼板內(nèi)固定術(shù);成人肱骨髁間骨折;臨床效果

[中圖分類號] R687? ? ? ? ? [文獻(xiàn)標(biāo)識碼] A? ? ? ? ? [文章編號] 1674-0742（2019）08（a）-0051-03

[Abstract] Objective To analyze the clinical efficacy of double locking plate internal fixation for the treatment of adult humeral intercondylar fractures. Methods 76 patients with adult humeral intercondylar fractures in the hospital from December 2016 to December 2017 were convenient selected and enrolled. The patients were divided into two groups according to the random principle. The study group （38 cases， double locking plate internal fixation） and reference group （38 cases， conventional fixed treatment）， comparing the time of surgery， length of hospital stay， total effective rate of treatment and complications. Results The operation time （118.24±25.97） min and hospitalization days （16.73±3.05） d were shorter than the reference group （132.95±31.46） min， （18.19±3.13）d，the difference was statistically significant（t=2.222 8， 2.059 3， P<0.05）; the study group of the total effective rate of treatment （97.37%） was significantly higher than that of the reference group （88.95%），the difference was statistically significant（χ2=6.175 8， P<0.05）. The study group's emotional function （85.27±6.48）points， mental health （87.95±5.71）points， physiological function （88.55±6.53）points， social function （87.54±5.06）points， energy （80.51±6.78）points and physical pain （88.76±5.44）points， the grading quality of life score was significantly higher than the reference group's emotional function （67.72±6.49）points， mental health （69.67±5.33）points， physiological function （66.88±5.88）points， social function （70.95±5.52）points， energy （73.38±6.45）points and physical pain （72.19±5.48）points，the difference was statistically significant（t=11.796 2， 14.426 3， 15.201 9， 13.657 0， 4.696 7， 13.228 2， P<0.05）. After follow-up， no serious complications were found in the two groups， such as incision skin necrosis， deep infection， and ulnar nerve damage. Conclusion The use of double-lock plate internal fixation for adult humeral intercondylar fractures can achieve a good fixation effect， and at the same time accelerate the recovery speed with satisfactory results.