可注射型人工骨联用锁定钢板治疗肱骨近端骨折临床观察

Clinical observation of proximal humeral locking plate combined with injectable bone graft in the treatment of proximal humeral fractures

目的 探讨可注射型人工骨联用锁定钢板治疗肱骨近端骨折的临床治疗效果及应用价值.方法 选择肱骨近端骨折患者86例,采用随机数字表法分为观察组和对照组,每组各43例,对照组采用锁定钢板治疗方法,观察组在对照组治疗基础上联合使用可注射型人工骨进行治疗.观察两组临床治疗效果.结果 观察组优良率为93.03％,对照组优良率为74.42％,两组差异有统计学意义（x2=5.460 3,P＜0.05）.观察组骨折愈合时间（11.78 ＆#177;3.64）周,肩关节功能评分（96.87 ＆#177;4.23）分；对照组骨折愈合时间（19.65＆#177;6.27）周,肩关节功能评分（78.73＆#177;8.28）分,差异有统计学意义（t=7.1182、12.793 4,均P＜0.05）.观察组并发症发生率为6.98％,明显低于对照组的30.23％（x2 =7.678 6,P＜0.05）.结论 采用可注射型人工骨联用锁定钢板治疗肱骨近端骨折疗效可靠,能够缩短骨折愈合时间,手术并发症轻微,值得在临床大力推广使用.

Objective To explore the treatment effect and application value of proximal humeral locking plate combined with injectable bone graft in the treatment of proximal humeral fractures.Methods 86 patients with proximal humeral fractures were selected,using the random number table method they were randomly divided into the observation group and control group,each group had 43 cases.The control group was treated with locking plate method,and the observation group was treated by the combination of artificial bone and locking plate.The therapeutic effect of the two groups was observed.Results The excellent and good rate of the observation group was 93.03%,that of the control group was 74.42%,the difference was statistically significant between the two groups（x2 =5.460 3,P 〈0.05）.In observation group,the fracture healing time was （11.78 ＆#177; 3.64） weeks,the shoulder joint function score was （96.87 ＆#177; 4.23） ; those of the control group were （19.65 ＆#177; 6.27） weeks,（78.73 ＆#177; 8.28）,the differences were statistically significant between the two groups （t =7.118 2,12.793 4,all P 〈 0.05）.The incidence rate of complications of the observation group was 6.98%,which was significantly lower than 30.23% of the control group （x2 =7.678 6,P 〈 0.05）.Conclusion Proximal humeral locking plate combined with injectable bone graft in the treatment of proximal humeral fracture has reliable curative effect,short fracture healing time and mild surgical complications,which is worth popularizing in clinical.