摘要
目的分析锁定接骨板治疗老年肱骨近端骨折的术后并发症情况与远期疗效,为提高该类患者的临床治疗提供参考依据。方法选取2012年9月至2014年9月在本院接受手术治疗的92例老年肱骨近端骨折患者为研究对象,按手术方法分为对照组(解剖接骨板治疗)和观察组(锁定接骨板治疗),各46例。比较2组患者的并发症发生情况和远期疗效。结果观察组患者术后出现肱骨头内翻畸形愈合和肱骨头坏死的比例均少于对照组,差异均有统计学意义(P<0.05)。随访6个月后,观察组患者的治疗优良率为89.1%,高于对照组的67.4%,差异具有统计学意义(P<0.05)。结论锁定接骨板治疗老年肱骨近端骨折患者不仅有效减少术后并发症的发生,且具有优良的远期疗效。
Objective To analyze the postoperative complications and long-term curative effect analysis of elderly patients with proximal humerus fractures by locking proximal humerus plate,and provide reference for such patients＇ clinical treatment. Methods A total of 92 elder patients with proximal humerus fractures in our hospital from September 2012 to September 2014 were included in the research. They were divided into control group（ who were treated with anatomical bone plates） and observation group（ who were treated with locking plates）,according to different sugrical methods. The postoperative complications situation and long-term curative effect analysis of two groups were compared. Results The proportions of humerus head varus malunion and humerus head necrosis of observation group were less than those of control group,with statistically significant difference（ P 0. 05）. And after six months of follow-up,the excellent rate of observation group were 89. 1%,significantly more than control group 67. 4%,with statistically significant difference（ P 0. 05）. Conclusion The locking plate used in elderly patients with proximal humerus fractures can effectively reduce the occurrence of postoperative complications,and it has excellent long-term curative effect.
出处
《局解手术学杂志》
2016年第5期361-363,共3页
Journal of Regional Anatomy and Operative Surgery
关键词
锁定接骨板
老年肱骨近端骨折
术后并发症
远期疗效
locking plate
proximal humerus fractures in elderly patients
postoperative complication
long-term curative effect
