平行钢板技术在肱骨髁间骨折临床应用及疗效评析.doc

平行钢板技术在肱骨髁间骨折临床应用及疗效评析 　　[摘要] 目的 观察评析平行钢板技术在肱骨髁间骨折的临床应用及疗效。方法 方便选取在该院进行平行钢板技术治疗的58例肱骨髁间骨折患者（2013年1月―2016年1月期间）进行回顾性分析。观察其手术时间、术中出血量以及骨折愈合时间，并进行4个月的随访，观察其优良率、运动功能状况（Fugl-Meyer）以及日常生活活动能力（Barthel）以及不良反应。结果 其手术时间、术中出血量以及骨折愈合时间均较短，且经过4个月随访发现，按改良Cassebaum评分系统评分，优40例，良10例，可6例，差2例，优良率为86.21%；治疗后，Fugl-Meyer评分、Barthel指?灯婪志?较高；其中不良反应发生率6.90%。结论 平行钢板技术是治疗肱骨髁间骨折的较好方法，值得广泛推广 [关键词] 平行钢板技术；肱骨髁间骨折；疗效；临床应用 [中图分类号] R683 [文献标识码] A [文章编号] 1674-0742（2017）01（b）-0083-03 [Abstract] Objective To observe the clinical application and curative effect of parallel steel plate technology in intercondylar fracture of humerus. Methods Convenient selection 58 cases of patients with intercondylar fracture of humerus treated with the parallel steel plate technology in our hospital from January 2013 to January 2016 were selected and the operation time， intraoperative bleeding amount and fracture healing time were observed and the excellent and good rate， Fugl-Meyer， Barthel and adverse reactions were observed by the 4-month follow-up. Results The operative time， intraoperative bleeding amount and fracture healing time were shorter， and the 4-month follow-up showed that 40 cases were excellent， 10 cases were good， 2 cases were moderate and 2 cases were poor according to the modified Cassebaum score system， and the excellent and good rate was 86.21%， and after treatment， the Fugl-Meyer score and Barthel index score were higher， and the incidence rate of adverse reactions was 6.90%. Conclusion The parallel steel plate technology is a better method of treatment for intercondylar fracture of humerus， which is worth wide promotion. [Key words] Parallel steel plate technology； Intercondylar fracture of humerus； Curative effect； Clinical application 在临床上，肱骨髁间骨折属于较为严重的骨折类型，主要由于受各种外力因素作用，使患者的肘关节造成严重损伤，多发生于青壮年[1]。患者多为粉碎性骨折，病情复杂，临床多使用手术治疗，治疗中闭合、复位较为困难。若治疗不当则会出现肘关节功能障碍、愈合困难甚至畸形等症状[2]。故此，该文研究方便选取2013年1月―2016年1月共58例肱骨髁间骨折患者观察平行钢板技术治疗肱骨髁间骨折的临床效果，为临床治疗肱骨髁间骨折疾病提供相关依据，改善肱骨髁间骨折疾病的危害，现报道如下 1 资料与方法 1.1 一般