[1]梁晶峰,徐 华,李文成.两种入路治疗不同年龄患者尺骨冠状突骨折的效果对比[J].医学信息,2019,32(14):107-109.[doi:10.3969/j.issn.1006-1959.2019.14.033]
　LIANG Jing-feng,XU Hua,LI Wen-cheng.A Comparative Study of Two Surgical Approaches for the Treatment of Ulnar Coronoid Process Fractures in Different Age Groups[J].Journal of Medical Information,2019,32(14):107-109.[doi:10.3969/j.issn.1006-1959.2019.14.033]
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两种入路治疗不同年龄患者尺骨冠状突骨折的效果对比()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年14期
页码:
107-109
栏目:
临床研究
出版日期:
2019-07-15

文章信息/Info

Title:
A Comparative Study of Two Surgical Approaches for the Treatment of Ulnar Coronoid Process Fractures in Different Age Groups
文章编号:
1006-1959（2019）14-0107-03
作者:
梁晶峰; 徐 华; 李文成
天津港口医院骨科，天津 300456
Author(s):
LIANG Jing-feng; XU Hua; LI Wen-cheng
Department of Orthopaedics,Tianjin Port Hospital,Tianjin 300456,China
关键词:
尺骨冠状突骨折; 内固定; 手术入路
Keywords:
Key words：Ulnar coronoid process fracture; Internal fixation; Surgical approach
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2019.14.033
文献标志码:
A
摘要:
目的 对比前侧入路及内侧入路手术治疗在不同年龄人群尺骨冠状突骨折的临床效果。方法 回顾性分析2011年1月~2017年5月我院骨科收治的尺骨冠状突骨折患者85例，按年龄分为青壮年组（42例）和高年龄组（43例），两组均分别采用前侧入路及内侧入路手术治疗，比较两组内前侧入路和内侧入路的手术时间、术中出血量、切口长度及术后并发症情况，组间及组内前、内侧入路术后患者MEPS评分和Broberg-Morrey评分。结果 所有患者均随访至少12个月，无伤口感染；高年龄组前侧入路1例出现正中神经损伤，内侧入路2例出现尺神经损伤，1例出现异位骨化，1例出现内固定失败；两组患者前侧入路的手术时间、术中出血量、切口长度均小于内侧入路，差异具有统计学意义（P＜0.05）；青壮年组术后MEPS评分和Broberg-Morrey评分分别为（87.74±7.42）分、（88.21±7.23）分，高于高年龄组的（74.93±9.63）分、（75.86±9.55）分，差异具有统计学意义（P＜0.05）；青壮年组中前侧入路MEPS评分、Broberg-Morrey评分与内侧入路比较，差异无统计学意义（P＞0.05）；高年龄组中前侧入路MEPS评分、Broberg-Morrey评分高于内侧入路，差异具有统计学意义（P＜0.05）。结论 年龄因素对尺骨冠状突骨折的疗效可造成一定影响，尤其是高年龄患者，更应选择创伤小、疗效更好的前侧入路进行手术。同时手术中应注意操作细节，减少手术并发症的发生。
Abstract:
Abstract：Objective To compare the clinical outcomes of anterior approach and medial approach for the treatment of ulnar coronoid process fractures in different age groups.Methods A retrospective analysis of 45 patients with ulnar coronoid fractures admitted to our department from January 2011 to May 2018 was divided into young and middle-aged groups (42 cases) and high age group (43 cases). Surgical treatment of the lateral approach and medial approach, comparing the operative time, intraoperative blood loss, length of incision and postoperative complications of the anterior and medial approaches in the two groups, comparing the anterior and medial commissures between the groups and within the group MEPS score and Broberg-Morrey score were obtained after surgery.Results All patients were followed up for at least 12 months without wound infection; 1 patient had anterior medial nerve injury in the anterior approach of the high age group, 2 patients had ulnar nerve injury in the medial approach, 1 patient had heterotopic ossification, and 1 patient had internal fixation failure; the operation time, intraoperative blood loss, and incision length of the anterior approach were lower in the two groups than in the medial approach, the difference was statistically significant(P<0.05); the MEPS score and the Broberg-Morrey score in the young and middle-aged group were respectively (87.74±7.42) points, (88.21±7.23) points, higher than the high age group (74.93±9.63) points, (75.86±9.55) points, the difference was statistically significant (P<0.05); There was no significant difference in the MEPS score, Broberg-Morrey score and medial approach in the anterior approach in the young and middle-aged group (P>0.05). The anterior approach MEPS score and Broberg-Morrey score were higher in the high age group,the difference was statistically significant (P<0.05).Conclusion Age factors can have a significant effect on the treatment of ulnar coronoid process fractures. Patients with high age should choose a anterior approach with less trauma and better curative effect. At the same time, pay attention to the operation details during surgery to reduce the surgical complications.

参考文献/References:

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更新日期/Last Update: 2019-07-15