中国医学前沿杂志（电子版）
中國醫學前沿雜誌（電子版）
중국의학전연잡지（전자판）
CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
2014年
6期
122-125
,共4页
LPHP%PHILOS自锁钢板%老年肱骨近端复杂骨折
LPHP%PHILOS自鎖鋼闆%老年肱骨近耑複雜骨摺
LPHP%PHILOS자쇄강판%노년굉골근단복잡골절
LPHP%PHILOS beloved or locking plate%Humerus complex proximal fractures of the elderly
目的：分析肱骨近端内锁定系统（PHILOS）自锁钢板与肱骨近端锁定钢板（LPHP）治疗老年肱骨近端复杂骨折的效果。方法将96例老年肱骨近端复杂骨折患者随机均分为两组，观察组患者采用PHILOS自锁钢板内固定治疗，对照组患者采用LPHP内固定治疗，比较两组的治疗效果。结果观察组患者骨折平均愈合时间为（6.5±3.5）周，对照组患者骨折平均愈合时间为（8.2±3.9）周，观察组早于对照组（t＝2.247，P＝0.027）；观察组患者前驱上举、外旋度数大于对照组患者（t＝2.691， P＝0.008；t＝3.088，P＝0.003）；观察组患者手术时间、术中出血量、术后疼痛评分均优于对照组患者，差异具有极其显著性（P＜0.01）；观察组患者优良率为95.84%，优于对照组（81.25%），观察组疗效优于对照组（Z＝-2.103，P＝0.035）；观察组患者不良反应发生率为6.25%，对照组为12.50%，差异无显著性（χ2校正＝0.490，P＝0.483）。结论老年肱骨近端复杂骨折患者采用PHILOS自锁钢板的复位、固定、早期活动等疗效均优于LPHP，且不良反应少，具有重要参考价值。
目的：分析肱骨近耑內鎖定繫統（PHILOS）自鎖鋼闆與肱骨近耑鎖定鋼闆（LPHP）治療老年肱骨近耑複雜骨摺的效果。方法將96例老年肱骨近耑複雜骨摺患者隨機均分為兩組，觀察組患者採用PHILOS自鎖鋼闆內固定治療，對照組患者採用LPHP內固定治療，比較兩組的治療效果。結果觀察組患者骨摺平均愈閤時間為（6.5±3.5）週，對照組患者骨摺平均愈閤時間為（8.2±3.9）週，觀察組早于對照組（t＝2.247，P＝0.027）；觀察組患者前驅上舉、外鏇度數大于對照組患者（t＝2.691， P＝0.008；t＝3.088，P＝0.003）；觀察組患者手術時間、術中齣血量、術後疼痛評分均優于對照組患者，差異具有極其顯著性（P＜0.01）；觀察組患者優良率為95.84%，優于對照組（81.25%），觀察組療效優于對照組（Z＝-2.103，P＝0.035）；觀察組患者不良反應髮生率為6.25%，對照組為12.50%，差異無顯著性（χ2校正＝0.490，P＝0.483）。結論老年肱骨近耑複雜骨摺患者採用PHILOS自鎖鋼闆的複位、固定、早期活動等療效均優于LPHP，且不良反應少，具有重要參攷價值。
목적：분석굉골근단내쇄정계통（PHILOS）자쇄강판여굉골근단쇄정강판（LPHP）치료노년굉골근단복잡골절적효과。방법장96례노년굉골근단복잡골절환자수궤균분위량조，관찰조환자채용PHILOS자쇄강판내고정치료，대조조환자채용LPHP내고정치료，비교량조적치료효과。결과관찰조환자골절평균유합시간위（6.5±3.5）주，대조조환자골절평균유합시간위（8.2±3.9）주，관찰조조우대조조（t＝2.247，P＝0.027）；관찰조환자전구상거、외선도수대우대조조환자（t＝2.691， P＝0.008；t＝3.088，P＝0.003）；관찰조환자수술시간、술중출혈량、술후동통평분균우우대조조환자，차이구유겁기현저성（P＜0.01）；관찰조환자우량솔위95.84%，우우대조조（81.25%），관찰조료효우우대조조（Z＝-2.103，P＝0.035）；관찰조환자불량반응발생솔위6.25%，대조조위12.50%，차이무현저성（χ2교정＝0.490，P＝0.483）。결론노년굉골근단복잡골절환자채용PHILOS자쇄강판적복위、고정、조기활동등료효균우우LPHP，차불량반응소，구유중요삼고개치。
Objective To analysis in the proximal humerus locking system (PHILOS beloved or) locking plate with a locking proximal humeral plate (LPHP) in the treatment of proximal humerus elderly the curative effect of complex fractures. Method 96 cases of complex proximal humerus elderly fracture patients were randomly divided into two groups, observation group with PHILOS beloved or locking plate internal ifxation treatment, control group using LPHP internal ifxation treatment, compared two groups of curative effect. Result The average healing time of fracture (6.5±3.5) for weeks, the control group (8.2±3.9) for weeks, the experimental group earlier than the control group (t=2.247, P=0.027). Lift on precursor observation group, outside readings is greater than the control group (t=2.691, P=0.008;t=3.088, P=0.003);curative effect observation group was 95.84%, 81.25%in control group, experimental group is better than that of control group (Z=-2.103, P=0.035);observation group 6.25%incidence of adverse reactions, control group was 12.50%, no statistically signiifcant differences between the two groups (χ2cor ection = 0.490, P = 0.483). Conclusion Proximal humerus elderly complex fracture were treated by PHILOS beloved or locking plate reduction and ifxation, early activities of curative effect is better than that of LPHP, and side effects of small, have important reference value.
