摘要
目的:比较新型小夹板外固定与PHILOS钢板内固定治疗肱骨近端骨折的临床疗效。方法:回顾性分析2014年6月至2017年3月中国中医科学院望京医院创伤一科肱骨近端骨折患者60例。行手法复位新型小夹板外固定治疗30例(夹板组),切开复位PHILOS钢板内固定治疗30例。术后随访观察,采用Neer肩关节功能评分对患者肩关节的疼痛、功能、肩关节活动范围及解剖情况进行评价。结果:所有患者随访3~15个月,平均7.1个月。30例新型小夹板外固定治疗组,优6例(20.0%)、良16例(53.3%)、中7例(23.3%)、差1例(3.4%),优良率73.3%;PHILOS钢板内固定治疗组,优4例(13.4%)、良15例(50.0%)、中8例(26.6%)、差3例(10.0%),优良率63.3%;Neer肩关节功能评分PHILOS钢板内固定与新型夹板外固定差异无统计学意义(P=0.493)。结论:新型夹板外固定疗法在肱骨近端骨折的保守治疗中具有明显的临床疗效,值得在临床中推广应用。
Objective：To compare the clinical effects of new small splint external fixation and PHILOS plate internal fixation in the treatment of proximal humeral fractures.Methods：From June 2014 to March 2017,60 cases of fracture of proximal humerus in department of trauma,Wangjing Hospital,Chinese academy of sciences of traditional Chinese medicine were analyzed retrospectively.30 cases（splint group）were treated with manipulative reduction and external fixation with small splint,and 30 cases were treated with open reduction and PHILOS plate fixation.The patients were followed up and observed.The shoulder pain,function,shoulder range and anatomy of shoulder were evaluated by Neer shoulder function score.Results：All patients were followed up for 3~15 months with an average of 7.1 months.The new small splint group had 6 cases excellent（20.0%）,16 cases good（53.3%）,7 cases fair（23.3%）and 1 case bad（3.4%）,the excellent and good rate was 73.3%.The PHILOS plate fixation group had 4 cases excellent（13.4%）,15 cases good（50%）,8 cases fair（26.6%）and 3 cases bad（10%）,the excellent and good rate was 63.3%.There was no statistical difference in Neer shoulder function score between PHILOS plate internal fixation and new splint external fixation（P=0.493）.Conclusion：The new splint external fixation therapy has important clinical significance in conservative treatment of proximal humeral fractures,and deserves to be popularized and applied in clinical practice.
作者
岳肖华
孙研
杜雅超
吕伯杨
李晏乐
季英霞
成永忠
程灏
YUE Xiaohua;SUN Yan;DU Yachao;LU Boyang;LI Yanle;JI Yingxia;CHENG Yongzhong;CHENG Hao(Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China)
出处
《中国中医骨伤科杂志》
CAS
2018年第8期39-42,共4页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
北京市首都临床特色项目-正骨手法配合新型小夹板治疗肱骨外科骨折的临床应用研究(Z141107002514093)
