摘要
目的比较肱骨中下段骨折手术和非手术治疗的效果。方法自2007年6月-2009年8月采用手术和非手术的方法治疗40例新鲜无桡神经损伤的肱骨中下段骨折病人,其中手术组22例,非手术组18例。结果手术组中发生桡神经损伤4例,骨不愈合2例;非手术组中发生桡神经损伤1例,骨不愈合1例,畸形愈合3例。2组桡神经损伤发生率、骨折愈合时间比较差异有统计学意义（〈0.1）;而骨不连发生率、骨折愈合率和终末随访时肘关节Mayo评分2组比较差异无统计学意义（〉0.05）。结论非手术治疗肱骨中下段骨折在骨折愈合时间和预防医源性桡神经损伤方面优于手术治疗。
Objective To Comparative analysis the effect of surgery and non-surgical treatment patients with the humerus shaft fracture in the middle or lower segment.Methods From Jun 2007 to Aug 2009 with the methods of surgical and non surgical treatment of 40 cases of fresh non-radial nerve injury in the lower or lower segment humerus fracture patients,22 cases of surgical group,18 cases of non-surgical group.Results The surgical group of radial nerve injury occurred in 4 cases,2 cases of nonunion;non-surgical group of radial nerve injury occurred in 1 case,1 case of nonunion,malunion in 3 cases.2 groups of radial nerve injury rate and fracture healing time was statistically significant difference（P0.01）;while it was no statistical difference between the 2 groups in the incidence of nonunion,fracture healing rate and the final Mayo elbow score（P0.05）.Conclusion Non-surgical treatment of humerus shaft fracture in the middle or lower segment is better than surgery in the fracture healing time and prevention of iatrogenic radial nerve injury.
出处
《生物骨科材料与临床研究》
CAS
2011年第4期42-44,共3页
Orthopaedic Biomechanics Materials and Clinical Study
关键词
肱骨中下段骨折
手术
非手术
比较分析
Humeral Shaft Fractures
Surgery
Non-surgical
Comparative analysis
