CAJ | 학술논문

目的：探讨肱骨近端加压锁定钢板与传统钢板治疗肱骨近端骨折的临床疗效比较。方法选择2012年8月～2013年10月在我院进行治疗的86例肱骨近端骨折患者作为研究对象，将其随机分为对照组及研究组，每组各43例。对照组的患者给予传统钢板进行治疗，研究组患者给予肱骨近端加压锁定钢板进行治疗，对两组患者的手术时间，术中出血量，Neer评分,术后骨折愈合时间及并发症发生率进行比较，所有患者均随访12个月。结果研究组与对照组手术时间分别为（149.87±19.31）min和（154.17±23.62）min，差异无统计学意义（P＞0.05）；研究组和对照组术中出血量分别为（98.17±15.83）mL和（129.10±15.34）mL，两组比较差异具有统计学意义（P＜0.05）；研究组优良率（86.05%)明显高于对照组优良率（60.47%），两组比较差异具有统计学意义（P＜0.05）；研究组和对照组术后骨折愈合时间分别为（13.01±4.08）周和（16.75±3.46）周，差异具有统计学意义（P＜0.05）；研究组和对照组术后并发症的发生率分别为4.65%和20.93%,两组比较差异有高度统计学意义（P＜0.01）。结论肱骨近端加压锁定钢板治疗肱骨近端骨折较传统钢板，具有疗效显著，术中出血量少，并发症发生率低及骨折愈合快等优点，值得临床推广使用。
목적：탐토굉골근단가압쇄정강판여전통강판치료굉골근단골절적림상료효비교。방법선택2012년8월～2013년10월재아원진행치료적86례굉골근단골절환자작위연구대상，장기수궤분위대조조급연구조，매조각43례。대조조적환자급여전통강판진행치료，연구조환자급여굉골근단가압쇄정강판진행치료，대량조환자적수술시간，술중출혈량，Neer평분,술후골절유합시간급병발증발생솔진행비교，소유환자균수방12개월。결과연구조여대조조수술시간분별위（149.87±19.31）min화（154.17±23.62）min，차이무통계학의의（P＞0.05）；연구조화대조조술중출혈량분별위（98.17±15.83）mL화（129.10±15.34）mL，량조비교차이구유통계학의의（P＜0.05）；연구조우량솔（86.05%)명현고우대조조우량솔（60.47%），량조비교차이구유통계학의의（P＜0.05）；연구조화대조조술후골절유합시간분별위（13.01±4.08）주화（16.75±3.46）주，차이구유통계학의의（P＜0.05）；연구조화대조조술후병발증적발생솔분별위4.65%화20.93%,량조비교차이유고도통계학의의（P＜0.01）。결론굉골근단가압쇄정강판치료굉골근단골절교전통강판，구유료효현저，술중출혈량소，병발증발생솔저급골절유합쾌등우점，치득림상추엄사용。
Objective To explore the clinical effect of the proximal humeral locking compression plate and the traditional plate in the treatment of proximal humeral fracture. Methods 86 patients with proximal humerus fractures in our hospital from August 2012 to October 2013 were selected as research object,and they were randomly divided into control group and study group,each group had 43 cases.The control group were given traditional plate treatment;and the study group were given proximal humeral locking compression plate. The operative time,blood loss,Neer score,postoperative healing time and complication rates of two groups were compared. Results The operative time of study group and control group were(149.87±19.31)min and(154.17±23.62)min;the difference between two groups was not statistical(P>0.05);The blood loss of study group and control group were(98.17±15.83) mL and(129.10±15.34)mL; there were significant different between the two groups(P<0.05);The excellent and good rate of the study group(86.05%)was significantly higher than that of the control group(60.47%),there was significant different between the two groups(P < 0.05);The postoperative healing time of study group and control group were(13.01±4.08)weeks and(16.75±3.46)weeks;the difference between two groups was statistical(P<0.05);The incidence of postoperative complications of study group and control group were 4.65%and 20.93%;The difference between the two groups were statically significant(P<0.01). Conclusion The proximal humerus locking compression plate in the treatment ofproximal humeral fracture than traditional steel,has a significant effect,less bleeding,the low rate of complications and healing the fracture,is worthy of clinical use.