摘要
目的探讨肱骨近端骨折实施锁定钢板与常规手术治疗的疗效。方法方便选取2015年1月—2016年8月间该院收治的98例肱骨近端骨折患者进行研究,所有患者均实施手术治疗,按患者手术术式将患者分为常规组和钢板组各49例,对所有常规组患者实施常规手术治疗,对所有钢板组患者实施锁定钢板治疗,统计分析两组患者的手术效果、预后及安全性状况。结果钢板组患者术中出血量(234.2±26.8)m L、手术时间(65.7±7.8)min、住院时间(12.1±2.1)d、术后VAS评分[术后1个月(4.1±1.2)分、3个月(2.2±0.7)分、6个月(0.3±0.2)分]、并发症发生率2.0%与常规组术中出血量(368.2±23.4)m L、手术时间(95.2±8.6)min、住院时间(15.9±2.8)d、术后VAS评分[术后1个月(4.8±0.9)分、3个月(3.2±0.9)分、6个月(0.6±0.4)分]、并发症发生率16.3%相比明显较低;钢板组患者治疗总有效率95.9%、术后Neer评分[术后1个月(48.2±9.4)分、3个月(58.9±10.4)分、6个月(81.3±8.6)分]与常规组疗总有效率79.6%、术后Neer评分[术后1个月(40.6±8.5)分、3个月(51.2±9.8)分、6个月(74.6±7.5)分]相比明显较高,差异有统计学意义(P<0.05)。结论肱骨近端骨折实施锁定钢板治疗效果优于常规手术。
Objective To study the curative effect of locking plate and routine operation in treatment of proximal humerus fractures. Methods Convenient selection 98 cases of patients with proximal humerus fractures admitted and treated in ourhosital from January 2015 to August 2016 were selected and treated with operation, and the patients were divided into two groups with 49 cases in each according to the operation method, and the routine group and the plate group were respectively treated with routine surgery and locking plate treatment, and the operative effect, prognosis and safety of the two groups were counted and analyzed. Results The intraoperative bleeding amount, operation time, length of stay, VAS scores in 1month, 3 months and 6 months after operation and incidence rate of complications in the locking plate group were obviously lower than those in the routine group,[(234.2±26.8)m L,(65.7±7.8)min,(12.1±2.1)d,(4.1±1.2)points,(2.2±0.7)points,(0.3±0.2)points, 2.0% vs(368.2±23.4)m L,(95.2±8.6)min,(15.9±2.8)d,(4.8±0.9)points,(3.2±0.9)points,(0.6±0.4)points,16.3%], and the total effective rate and postoperative Neer scores in 1 month, 3 months and 6 months in the plate group were obviously higher than those in the routine group, 95.9%,(48.2±9.4)points,(58.9±10.4)points,(81.3±8.6)points vs 79.6%,(40.6±8.5)points,(51.2±9.8)points,(74.6±7.5)points], and the differences were statistically significant(P<0.05). Conclusion The effect of locking plate treatment of proximal humerus fractures is better than that of the routine surgery.
出处
《中外医疗》
2017年第21期14-17,共4页
China & Foreign Medical Treatment
关键词
肱骨近端骨折
锁定钢板
常规手术治疗
疗效
Proximal humerus fractures
Locking plate
Routine surgery
Curative effect
