老年骨质疏松性肱骨近端骨折患者采用T形切口治疗的疗效分析

Efficacy of T-shaped Incision in Treatment of Proximal Osteoporotic Humerus Fractures in the Elderly

目的 研究老年骨质疏松性肱骨近端骨折患者采用T形切口治疗的疗效.方法 研究资料来自我院老年骨质疏松性肱骨近端骨折患者67例,根据随机数字表法,分为微创组和切开组.切开组采用切开复位治疗;微创组采用T形切口微创闭合复位治疗.结果 微创组术后并发症发生少于切开组,x2检验P<0.05有统计学意义.微创组患者Constant评分高于切开组,t检验P<0.05有统计学意义.微创组患者手术时间、住院天数均少于切开组,t检验P<0.05有统计学意义.结论 老年骨质疏松性肱骨近端骨折患者采用T形切口微创闭合复位可保证手术效果,值得推广.

Objective To study the osteoporotic patients with proximal humeral fracture treated with T shape incision.Methods Data from proximal fracture patients in our hospital 67 cases of senile osteoporotic humerus,according to the random number table method,divided into minimally invasive group and open group.The open group were treated with open reduction treatment;minimally invasive group with T incision minimally invasive closed reduction treatment.Results Minimally invasive group of postoperative complications is less than the open group,x2 test P<0.05 was statistically significant.Patients in the minimally invasive group Constant score higher than the open group,t test P<0.05 was statistically significant.The minimally invasive group of patients with operation time,hospitalization time were less than the open group,t test,P<0.05 was statistically significant.Conclusion Osteoporotic proximal humerus treated by T minimally invasive incision closed reduction can ensure the operation effect,fracture and is worthy of promotion.