锁定接骨板与解剖接骨板治疗老年肱骨近端骨折的比较

Comparison of Locking Plate and Anatomical Plate in Treatment of Elderly Patients with Proximal Humerus Fractures

目的:对比锁定接骨板与解剖接骨板治疗老年肱骨近端骨折的效果.方法:应用肱骨近端锁定接骨板及解剖接骨板治疗肱骨近端骨折56例.比较两种治疗方法在手术时间、术中出血量、术后疼痛评分、术后关节功能评分(score)等方面的差异.结果:56例均获随诊,随诊时间6～18个月,平均12个月.锁定接骨板组术中出血量(134.55±30.67)mL少于解剖接骨板组(178.69±50.73)mL;手术时间(79.65±20.37)min短于解剖接骨板组(96.87±30.63)min;术后疼痛VAS评分(1.35±0.22)分低于解剖接骨板组(2.27±1.23)分;术后肩关节功能Neer评分(94.53±8.54)分及Constant评分(90.26±10.37)分均高于解剖接骨板组.差异均有统计学意义(P<0.05).结论:锁定接骨板治疗老年肱骨近端骨折较解剖接骨板更具优势.

Objective：To compare the effects of locking plate and anatomical plate on elderly patients with proximal humerus fractures.Methods：The proximal humerus locking plate and ana-tomical plate were used to treat 56 cases of proximal humeral fractures.Operative time（min）,blood loss（mL）,postoperative pain score（score）,postoperative joint function score（score） were compared of two treatment methods.Results：56 patients were followed up for 6 months to 18 months,average of 12 months.Locking plate group blood loss（134.55±30.67）mL were less than the anatomical plate group（178.69±50.73）mL;operation time（79.65±20.37）min were less than anatomical plate group（96.87±30.63）min;postoperative pain VAS score（1.35±0.22）points were less than anatomical plate group（2.27±1.23）points;postoperative shoulder function Neer score（94.53±8.54）points and Constant score（90.26±10.37）points were higher than anatomical plate group.Differences were statistically significant（P0.05）.Conclusion：The treatment to proximal humerus fractures in aged patients with locking plate has more advantage than anatomical plate.