摘要
目的比较肱骨近端锁定钢板和传统钢板治疗肱骨近端骨折的临床疗效。方法选择收治的60例肱骨近端骨折患者进行分析,平均分为观察组和对照组。观察组采用肱骨近端锁定钢板进行治疗,对照组患者采用传统钢板进行治疗。比较两组患者治疗前后的Neer评分、骨折愈合所需时间以及并发症发生率。结果组内比较上,两组患者治疗前后Neer评分的比较均存在明显差异(P<0.05);在组间比较上,两组患者治疗前Neer评分的比较无明显差异(P>0.05),治疗后的Neer评分存在明显差异(P<0.05),提示两组治疗均改善了患者的临床症状与活动情况,但是观察组患者的改善幅度更大;观察组患者并发症发生率为6.67%,对照组为23.33%,观察组骨折愈合时间明显比对照组更短,对比均具有统计学意义(P<0.05)。结论肱骨近端锁定钢板治疗肱骨近端骨折与传统钢板相比可以更好保护骨折处的血运,促进骨折的愈合,降低并发症发生率并强化患者各方面的恢复情况,效果显著,具有广阔应用前景。
Objective To compare the clinical efficacy of proximal humerus locking plate and conventional plate in treatment of proximal humerus fractures. Methods 60 cases of humeral proximal fractures in our hospital patients as the research object analysis, divided into the observation group and the control group. The observation group was treated with locking proximal humerus plate treatment, patients in the control group using conventional plate treatment. Two groups were compared before and after treatment Neer score, fracture healing time and the incidence of complications. Results The within group comparison, comparison of Neer score in the two groups before and after treatment were significantly dif- ferent ( P 〈 0. 05 ) ; in the comparison between groups, Neer scores had no significant difference between two groups of patients ( P 〉 0.05 ), there is significant difference after treatment Neer score ( P 〈 0. 05 ), prompt treatment in the two groups were improved clinical symptoms and activity of patients, but the patients in the observation group were improved obviously; the patients in observation group the incidence of complications was 6. 67%, 23.33 % in the control group, the observation group than in the control group. Fracture healing time was shorter, compared with statistical significance (P 〈 0. 05). Conclusions The proximal humerus locking plate in treatment of proximal humerus fractures can better protect the blood supply compared with traditional steel plate fracture, promote the healing of fractures, reduce the inci- dence of complications and strengthen all aspects of the recovery of patients, significant effect, has the broad application prospect.
出处
《航空航天医学杂志》
2014年第12期1631-1633,共3页
Journal of Aerospace medicine
关键词
肱骨近端骨折
血运
钢板
愈合
proximal humeral fractures
blood supply
steel
healing