【摘要】 目的 探讨肘内侧小切口C形臂X线机透视下治疗老年人肱骨髁上骨折的可行性。方法 选取60例老年人肱骨髁上骨折患者作为研究对象,随机分为观察组(肘内侧小切口C形臂X线机透视下治疗)与对照组(闭合复位克氏针内固定治疗)各30例。比较两组患者手术指标、肘关节功能恢复情况,随访术后并发症发生率。结果 观察组手术时间、X线透视次数及制动时间均少于对照组,差异有统计学意义(P <0.05);观察组肘关节恢复优良率为93.3%,高于对照组的70.0%,差异有统计学意义(P <0.05);两组并发症发生率比较观察组低于对照组,差异有统计学意义(P <0.05)。结论 针对老年人肱骨髁上骨折患者行肘内侧小切口C形臂X线机透视下治疗,手术用时短、安全性高,有利于肘关节功能恢复。更多还原

【Abstract】 Objective To study the feasibility of C-arm X ray machine for the treatment of sutracondylar fracture in the elderly.Methods 60 elderly patients with supracondylar fractures of the humerus in the hospital were selected as the study objects.Sixty cases were randomly divided into the observation groups(X perspective treatment of small medial elbow incision C-shaped arm) and the control group(closed reset in-needle fixation treatment),each with 30 cases.Surgical indicators and elbow function recovery were compared between the two groups,and the incidence of complications after follow-up.Results The operation time,X-ray fluoroscopy and immobilization time of the observation group were less than those of the control group,and the difference was statistically significant(P <0.05);the excellent and good rate of elbow joint recovery in the observation group was 93.3%,which was higher than 70.0% of the control group.The difference was statistically significant(P <0.05);the comparison of the incidence of complications between the two groups in the observation group was lower than that in the control group,and the difference was statistically significant(P <0.05).Conclusion For the case of superior condylar fracture in the elderly medial elbow small incision C-shaped arm X perspective treatment,the operation has short time and high safety,which is conducive to the recovery of elbow function.更多还原