目的比较分析肱骨髁间骨折两种手术入路的治疗效果。方法 2015年5月至2017年5月,共72例肱骨髁间骨折患者接受手术,根据采用的手术入路分为内外侧联合入路组(A组,n=36)、尺骨鹰嘴截骨入路组(B组,n=36)。比较分析两组患者的手术时间、术中透视X线暴露时间、并发症发生情况及术后肘关节功能评价。结果 B组的手术时间、X线暴露时间少于A组(P<0.05);B组的并发症发生率低于A组(P<0.05);B组肘关节功能评价及格率明显高于A组(P<0.05)。结论尺骨鹰嘴截骨入路方式治疗肱骨髁间骨折,手术时间少,X线暴露时间少,并发症发生率低,且术后肘关节功能恢复好,优于内外侧联合入路。

Objective To compare and analyze the therapeutic effect of two surgical approaches in the treatment of humeral intercondylar fracture. Methods From May 2015 to May 2017, a total of 72 patients with humeral intercondylar fracture were treated. According to the method of approach, the patients were divided into 2 groups： olecranon osteotomy approach group （group A, n=36） and medial-lateral approach group （group B, n=36）. The operating time, X-ray exposure time, complications and elbow function assessment were observed and compared between the 2 groups. Results The operating time and X-ray exposure time in the group A were less than those in the group B （P〈0.05）. The incidence of complications in the group A was lower than that in the group B （P〈0.05）. The functional evaluation of the elbow joint in the group A was significantly higher than that in the group B （P〈0.05）. Conclusion The olecranon osteotomy approach in the treatment of humeral intercondylar fracture is superior to the medial -lateral approach with less operating time, X -ray exposure time, complications, and better elbow function recovery.