中华实验外科杂志
中華實驗外科雜誌
중화실험외과잡지
CHINESE JOURNAL OF EXPERIMENTAL SURGERY
2012年
12期
2599-2600
,共2页
肱骨外科颈骨折%肱骨近端髓内钉%锁定加压接骨板
肱骨外科頸骨摺%肱骨近耑髓內釘%鎖定加壓接骨闆
굉골외과경골절%굉골근단수내정%쇄정가압접골판
Humeral surgical neck fractures%Proximal humeral nail%Locking compression plate
目的 比较肱骨近端髓内钉(PHN)和锁定加压接骨板(LCP)内固定治疗Ⅱ型肱骨外科颈骨折的临床效果.方法 从2006年3月至2010年12月,将在武汉市第十一医院治疗的48例成人新鲜Ⅱ型肱骨外科颈骨折患者随机分为PHN组和LCP组,每组24例,比较两组手术时间、术中出血量、切口总长度、肩关节活动范围、Constant-Murley肩关节功能评分及手术并发症.结果 PHN组手术时间(79.8±31.2) min、术中出血量为(198.7±123.9) ml、切口总长度为(7.9±2.7)cm、肩关节外展活动度为(93.5±15.7)°,LCP组手术时间为(117.6 ±38.3) min、术中出血量为(394.8±199.5)ml、切口总长度为(15.3±3.1)cm、肩关节外展活动度为(106.6±16.4)°,两组差异有统计学意义(P＜0.01);肩关节前屈、外旋、内旋、Constant-Murley肩关节评分差异无统计学意义(P＞0.05).结论 PHN和LCP内固定治疗Ⅱ型肱骨外科颈骨折均可获得良好的疗效,PHN内固定创伤更小,LCP内固定术后患肢外展功能更好.
目的 比較肱骨近耑髓內釘(PHN)和鎖定加壓接骨闆(LCP)內固定治療Ⅱ型肱骨外科頸骨摺的臨床效果.方法 從2006年3月至2010年12月,將在武漢市第十一醫院治療的48例成人新鮮Ⅱ型肱骨外科頸骨摺患者隨機分為PHN組和LCP組,每組24例,比較兩組手術時間、術中齣血量、切口總長度、肩關節活動範圍、Constant-Murley肩關節功能評分及手術併髮癥.結果 PHN組手術時間(79.8±31.2) min、術中齣血量為(198.7±123.9) ml、切口總長度為(7.9±2.7)cm、肩關節外展活動度為(93.5±15.7)°,LCP組手術時間為(117.6 ±38.3) min、術中齣血量為(394.8±199.5)ml、切口總長度為(15.3±3.1)cm、肩關節外展活動度為(106.6±16.4)°,兩組差異有統計學意義(P＜0.01);肩關節前屈、外鏇、內鏇、Constant-Murley肩關節評分差異無統計學意義(P＞0.05).結論 PHN和LCP內固定治療Ⅱ型肱骨外科頸骨摺均可穫得良好的療效,PHN內固定創傷更小,LCP內固定術後患肢外展功能更好.
목적 비교굉골근단수내정(PHN)화쇄정가압접골판(LCP)내고정치료Ⅱ형굉골외과경골절적림상효과.방법 종2006년3월지2010년12월,장재무한시제십일의원치료적48례성인신선Ⅱ형굉골외과경골절환자수궤분위PHN조화LCP조,매조24례,비교량조수술시간、술중출혈량、절구총장도、견관절활동범위、Constant-Murley견관절공능평분급수술병발증.결과 PHN조수술시간(79.8±31.2) min、술중출혈량위(198.7±123.9) ml、절구총장도위(7.9±2.7)cm、견관절외전활동도위(93.5±15.7)°,LCP조수술시간위(117.6 ±38.3) min、술중출혈량위(394.8±199.5)ml、절구총장도위(15.3±3.1)cm、견관절외전활동도위(106.6±16.4)°,량조차이유통계학의의(P＜0.01);견관절전굴、외선、내선、Constant-Murley견관절평분차이무통계학의의(P＞0.05).결론 PHN화LCP내고정치료Ⅱ형굉골외과경골절균가획득량호적료효,PHN내고정창상경소,LCP내고정술후환지외전공능경호.
Objective To compare the clinical effect between proximal humeral nail (PHN) and locking compression plate (LCP) in treatment of type-Ⅱ humeral surgical neck fractures.Methods Selected 48 cases with type-Ⅱ humeral surgical neck fractures were randomly divided into PHN group (24 cases) and LCP group (24 cases) from March 2006 to December 2010,and compare the surgery time,blood loss during surgery,total length of wound,range of motion,Constant-Murley Shoulder Score,and the complications between the two groups.Results Surgery time (79.8 ± 31.2) min,blood loss during surgery (198.7 ± 123.9) ml,total length of wound (7.9 ±2.7) cm,abduction function (93.5 ± 15.7) ° in PHN group,and the surgery time (117.6 ±38.3) min,blood loss during surgery (394.8 ± 199.5)ml,total length of wound (15.3 ± 3.1) cm,abduction function (106.6 ± 16.4) ° in LCP group were Significantly different (P ＜ 0.01).There was no statistical difference on forward flection,external rotation,internal rotation and Constant-Murley Shoulder Score between the two groups (P ＞ 0.05).Conclusion Both of PHN and LCP could get good therapeutic effect.Proximal humeral nail could perform with minimally invasive approach while locking compression plate could get a good abduction function.
