锁定加压钢板内固定治疗肱骨外科颈骨折的临床分析

Clinical analysis of locking compression plate fixation in treatment for fracture of surgical neck of humerus

目的探讨肱骨外科颈骨折实施锁定加压钢板内固定治疗的临床效果。方法选取本院2010年12月～2012年10月收治的肱骨外科颈骨折患者67例,根据术式分为两组,33例患者采用三叶草型钢板内固定治疗,设为对照组,34例患者采用锁定加压钢板内固定治疗,为观察组,比较两组患者的临床指征、临床疗效、并发症情况。结果观察组术中出血量(183.7±41.6)mL、手术时间(61.8±11.3)min、术后住院时间(18.7±3.9)d、骨折愈合时间(7.8±2.6)周、术后并发症发生率5.9%均明显小于对照组(239.4±50.1)mL、(82.5±14.7)min、(22.4±5.3)d、(10.2±3.1)周、24.2%,观察组总体优良率(97.1%)明显高于对照组(81.8%),差异均有统计学意义(P<0.05)。结论锁定加压钢板内固定是治疗肱骨外科颈骨折的有效方法,可显著改善患者病症,缩短治疗时间,且并发症较少,值得临床推广使用。

Objective To investigate clinical effect of locking compression plate fixation in treatment for fracture ofsurgical neck of humerus. Methods A total of 67 patients with fracture of surgical neck of humerus were selected inhospital from December 2010 to October 2012. According to operation, they were divided into two groups. 33 patientstreated clover plate internal fixation as control group, 34 patients treated locking compression plate fixation as observation group. Clinical indications, clinical effect, complications of patients in two groups were analyzed. Results Intraoperative blood loss （183.7±41.6） mL, operation time （61.8＋11.3） min, hospitalization time after operation （18.7±3.9） d,fracture healing time （7.8±2.6） weeks,incidence of postoperative complications 5.9% in observation group were significantly lower than control group （239.4± 50.1） mL, （82.5±14.7） min, （22.4±5.3） d,（10.2±3.1） weeks, 24.2%. Total excellent and good rate （97.1%） in observation group was significantly higher than control group （81.8%）, difference wasstatistically significant （P 〈 0.05）. Conclusion Locking compression plate fixation is an effective method in treatmentfor fracture of surgical neck of humerus, which can significantly improve patients symptoms and shorten treatmenttime. That has fewer complications and worth of clinical use.