[1]李生玉,邓新恒.聚酯不可吸收缝合线与克氏针张力带内固定治疗尺骨鹰嘴骨折疗效比较[J].新乡医学院学报,2020,37(2):189-192.[doi:10.7683/xxyxyxb.2020.02.021]
　LI Shengyu,DENG Xinheng.Comparison of the effect between excel polyester suture and Kirschner wire tension band internal fixation for ulnar olecranon fracture[J].Journal of Xinxiang Medical University,2020,37(2):189-192.[doi:10.7683/xxyxyxb.2020.02.021]
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聚酯不可吸收缝合线与克氏针张力带内固定治疗尺骨鹰嘴骨折疗效比较
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
37
期数:
2020年2
页码:
189-192
栏目:
临床研究
出版日期:
2020-02-05

文章信息/Info

Title:
Comparison of the effect between excel polyester suture and Kirschner wire tension band internal fixation for ulnar olecranon fracture
作者:
李生玉; 邓新恒
（南阳市骨科医院创伤骨肿瘤科，河南　南阳　473000）
Author(s):
LI Shengyu; DENG Xinheng
(Department of Traumatology and Bone Oncology,Nanyang Orthopedic Hospital,Nanyang 473000,Henan Province,China)
关键词:
尺骨鹰嘴骨折; 聚酯不可吸收缝合线; 克氏针张力带
Keywords:
ulnar olecranon fracture; excel polyester suture; Kirschner wire tension band
分类号:
R683.41
DOI:
10.7683/xxyxyxb.2020.02.021
文献标志码:
A
摘要:
目的　比较聚酯不可吸收缝合线与克氏针张力带内固定治疗尺骨鹰嘴骨折的临床效果。方法　选择2017年1～12月南阳市骨科医院收治的45例单纯尺骨鹰嘴骨折患者为研究对象，根据治疗方法将患者分为聚酯不可吸收缝合线组（A组，n=22）和克氏针张力带组（B组，n=23）。A组患者使用聚酯不可吸收缝合线固定尺骨鹰嘴骨折，B组患者使用克氏针张力带固定尺骨鹰嘴骨折。观察2组患者手术时间、术后石膏固定时间及骨折愈合时间；术后3个月，采用视觉模拟评分法（VAS）对2组患者肘关节疼痛进行评分，采用Mayo评分评估患者肘关节功能，使用量角器测量患者肘关节活动范围，并依据Broberg-Morrey标准评估患者临床疗效。结果　2组患者手术时间、骨折愈合时间比较差异均无统计学意义（P＞0.05）；B组患者术后石膏固定时间短于A组（P＜0.05）。术后3个月，2组患者肘关节VAS评分、活动范围及Mayo评分比较差异均无统计学意义（P＞0.05）。A、B组患者治疗效果优良率分别为81.8%（18/22）、82.6%（19/23），2组患者治疗效果优良率比较差异无统计学意义（χ2=2.191，P>0.05）。A组有1例患者在术后3周锻炼时出现骨折端分离，随后改为克氏针张力带固定；B组有2例患者出现克氏针针尾处疼痛。结论　聚酯不可吸收缝合线和克氏针张力带内固定治疗Mayo分型ⅠA、ⅠB和ⅡA型尺骨鹰嘴骨折疗效肯定，但聚酯不可吸收缝合线内固定治疗尺骨鹰嘴骨折具有操作方法更简单、无内固定物突出造成的局部软组织激惹征、不需要二次手术取出内固定物等优点。
Abstract:
Objective　To compare the clinical effect of excel polyester suture and Kirschner wire tension band internal fixation for ulnar olecranon fracture.Methods　Forty-five patients with simple ulnar olecranon fracture admitted to Nanyang Orthopedic Hospital from January to December 2017 were selected as the study objects,and the patients were divided into excel polyester suture group (group A,n=22) and Kirschner wire tension band group (group B,n=23) according to the treatment method.The patients in group A were treated with excel polyester suture,and the patients in group B were treated with Kirschner wire tension band.The operation time,postoperative plaster fixation time and fracture healing time of the patients in the two groups were observed.Three months after operation,the pain of elbow joint was scored by visual analogue scales (VAS),the elbow joint function was evaluated by Mayo score,the range of motion of elbow joint was measured by conimeter,and the clinical effect was evaluated by Broberg-Morrey standard in the two groups.Results　There was no significant difference in the operation time and fracture healing time between the two groups (P>0.05).The postoperative plaster fixation time in group B was shorter than that in group A (P<0.05).There was no significant difference in VAS score,range of motion and Mayo score of elbow joint between the two groups at three months after operation (P>0.05).The fineness rate in group A and group B was 81.8% (18/22) and 82.6% (19/23),respectively.There was no significant difference in the fineness rate between the two groups (χ2=2.191,P>0.05).There was one patient with fracture separation at three weeks after operation during functional exercise in group A,then the patient were re-treated with Kirschner wire tension band fixation.Two patients in group B had pain at the end of the Kirschner wire.Conclusions　Both of excel polyester suture and Kirschner wire tension band internal fixation for the treatment of Mayo ⅠA,ⅠB and ⅡA ulnar olecranon fractures have a positive effect.However,the excel polyester suture in the treatment of ulnar olecranon fracture has the advantages of simple operation,no local soft tissue irritation caused by internal fixation protrusion,and no need for secondary operation to remove the internal fixation.

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更新日期/Last Update: 2020-02-05