肱骨近端加压锁定钢板与传统钢板治疗肱骨近端骨折的临床效果比较

Clinical effect comparison of the proximal humeral locking compression plate and the traditional plate in the treatment of proximal humeral fracture

目的比较肱骨近端加压锁定钢板与传统钢板治疗肱骨近端骨折的临床效果。方法选取2010年6月～2012年5月本院收治的肱骨近端骨折患者64例为研究对象，随机分成观察组和对照组，每组32例，观察组采用肱骨近端加压锁定钢板治疗，对照组采用传统钢板治疗，观察两组Neer评分、骨折愈合时间和并发症发生率。结果两组治疗后Neer评分较治疗前明显提高，且观察组提高水平明显优于对照组，差异有统计学意义（P〈0．05）；观察组骨折愈合时间明显短于对照组，差异有统计学意义（P〈0．05）；观察组并发症发生率明显低于对照组，差异有统计学意义（P〈0．05）。结论肱骨近端加压锁定钢板治疗肱骨近端骨折效果明显优于传统钢板，其骨折愈合快，并发症发生少，安全有效。

Objective To compare clinical effect of the proximal humeral locking compression plate and the traditional plate in the treatment of proximal humeral fracture.Methods 64 patients with proximal humeral fracture in our hospital from June 2010 to May 2012 were divided into two groups,32 cases in each group.The observation group was treated with the proximal humeral locking compression plate,the control group was treated with the traditional plate.Neer score, fracture healing time and complication rates were observed.Results Neer score after treatment was significantly in- creased than before treatment,and the level raised of the observation group was better than that of the control group, with statistical difference （P〈0.05）.Fracture healing time of the observation group was significantly shorter than that of the control group,with statistical difference （P〈0.05）.Complication rate was significantly lower than that of the control group,with statistical difference（P〈0.05）.Conclusion Proximal humeral fracture with the proximal humeral locking com- pression plate is better than the traditional plate.Its fast fracture healing,fewer complications,safe and effective.