中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
7期
1010-1011
,共2页
樊柳龙%张青元%宋保中%许延锐
樊柳龍%張青元%宋保中%許延銳
번류룡%장청원%송보중%허연예
骨固定钢丝%骨折固定术,内%肱骨骨折
骨固定鋼絲%骨摺固定術,內%肱骨骨摺
골고정강사%골절고정술,내%굉골골절
Bone wires%Fracture fixation,internal%Humerus fractures
目的：比较肱骨近端加压锁定钢板（ LPHP ）与传统钢板治疗肱骨近端骨折的临床疗效。方法选取肱骨近端骨折患者58例，根据治疗方式不同分为两组，治疗组32例行加压锁定钢板治疗，对照组26例行传统的T型钢板、三叶草钢板治疗。根据Neer功能评分对两组患者术后恢复和并发症情况进行比较。结果58例患者均获得11～15个月的随访，治疗组未发现螺钉及钢板断裂、骨折不愈合、肱骨头坏死，4例肩关节疼痛活动受限；Neer功能评分优15例，良12例，可5例，优良率84．4％。对照组有3例患者螺钉松动、2例钢板断裂、3例骨折不愈合、2例肱骨头坏死、7例肩关节疼痛活动受限；Neer功能评分优6例，良9例，可3例，差8例，优良率57．7％。两组优良率差异有统计学意义（χ2＝5．113，P＜0．05）。结论相比传统钢板，LPHP治疗肱骨近端骨折固定确切、并发症少，有利于患者早期进行康复锻炼。
目的：比較肱骨近耑加壓鎖定鋼闆（ LPHP ）與傳統鋼闆治療肱骨近耑骨摺的臨床療效。方法選取肱骨近耑骨摺患者58例，根據治療方式不同分為兩組，治療組32例行加壓鎖定鋼闆治療，對照組26例行傳統的T型鋼闆、三葉草鋼闆治療。根據Neer功能評分對兩組患者術後恢複和併髮癥情況進行比較。結果58例患者均穫得11～15箇月的隨訪，治療組未髮現螺釘及鋼闆斷裂、骨摺不愈閤、肱骨頭壞死，4例肩關節疼痛活動受限；Neer功能評分優15例，良12例，可5例，優良率84．4％。對照組有3例患者螺釘鬆動、2例鋼闆斷裂、3例骨摺不愈閤、2例肱骨頭壞死、7例肩關節疼痛活動受限；Neer功能評分優6例，良9例，可3例，差8例，優良率57．7％。兩組優良率差異有統計學意義（χ2＝5．113，P＜0．05）。結論相比傳統鋼闆，LPHP治療肱骨近耑骨摺固定確切、併髮癥少，有利于患者早期進行康複鍛煉。
목적：비교굉골근단가압쇄정강판（ LPHP ）여전통강판치료굉골근단골절적림상료효。방법선취굉골근단골절환자58례，근거치료방식불동분위량조，치료조32례행가압쇄정강판치료，대조조26례행전통적T형강판、삼협초강판치료。근거Neer공능평분대량조환자술후회복화병발증정황진행비교。결과58례환자균획득11～15개월적수방，치료조미발현라정급강판단렬、골절불유합、굉골두배사，4례견관절동통활동수한；Neer공능평분우15례，량12례，가5례，우량솔84．4％。대조조유3례환자라정송동、2례강판단렬、3례골절불유합、2례굉골두배사、7례견관절동통활동수한；Neer공능평분우6례，량9례，가3례，차8례，우량솔57．7％。량조우량솔차이유통계학의의（χ2＝5．113，P＜0．05）。결론상비전통강판，LPHP치료굉골근단골절고정학절、병발증소，유리우환자조기진행강복단련。
Objective To observe the clinical efficacy of relatively proximal humeral locking compression plate( LPHP) with the traditional plate for treatment of proximal humeral fractures .Methods The proximal humeral fractures in patients with 58 cases,the patients were divided into two groups ,the treatment group of 32 cases of locking compression plate in the treatment of T plate ,clover plate in the treatment of 26 patients of the control group received traditional.According to the Neer score compared with two groups of patients with postoperative recovery and compli -cations.Results All the 58 patients for 11 ~15 months of follow-up,the treatment group found no fracture ,fracture nonunion,screw and plate humeral head necrosis ,4 cases of shoulder pain was limited;15 cases of excellent score Neer function,good in 12 cases,5 cases,the excellent and good rate was 84.4%.The control group had 3 cases,2 ca-ses of screw loosening of plate fracture ,3 cases of nonunion ,2 cases of humeral head necrosis ,7 cases of shoulder pain limited.6 cases of excellent score Neer function ,good in 9 cases,3 cases,poor in 8 cases,the excellent and good rate was 57.7%.There was significant differences between the two groups (χ2 =5.113,P <0.05) excellent rate. Conclusion LPHP exact treatment of proximal humeral fractures has fewer complications , which can help patients with early rehabilitation exercises .
