CAJ | 학술논문

　　目的此次临床研究，主要观察和探讨肱骨近端锁定钢板对治疗老年伴骨质疏松性肱骨近端骨折的临床治疗效果。方法此次临床研究主要以我院在2009年6月份至2012年1月份收治的21例老年伴骨质疏松性肱骨近端骨折的患者为研究对象，所有患者中有13例为女性患者，8例为男性患者，患者的年龄范围为60岁到82岁，平均年龄为68.7岁，使用DEXA进行诊断，均确诊为骨质疏松症患者，并根据Neer分类法，将所有患者进行分类，其中二部分骨折患者有5例，三部分骨折患者有13例，四部分骨折患者有3例。手术治疗后肩关节功能采用Neer评定系统进行评定。观察和统计患者术后满意程度和治疗效果。结果通过对患者进行术后3个月到10个月的随访，21例患者无1例出现漏访。结合Neer评分标准，在此次的临床研究中，有11例患者为优，有7例患者为满意，有3例患者为不满，总满意度达85.7%。结论经过此次的临床研究，结果显示肱骨近端锁定钢板治疗对老年伴骨质疏松性肱骨近端骨折具有显著的临床效果，固定效果较为可靠，能够为患者提供早期的功能锻炼，患者对术后的功能恢复较为满意，具有较高的医学应用价值，值得推广和普及。
　　목적차차림상연구，주요관찰화탐토굉골근단쇄정강판대치료노년반골질소송성굉골근단골절적림상치료효과。방법차차림상연구주요이아원재2009년6월빈지2012년1월빈수치적21례노년반골질소송성굉골근단골절적환자위연구대상，소유환자중유13례위녀성환자，8례위남성환자，환자적년령범위위60세도82세，평균년령위68.7세，사용DEXA진행진단，균학진위골질소송증환자，병근거Neer분류법，장소유환자진행분류，기중이부분골절환자유5례，삼부분골절환자유13례，사부분골절환자유3례。수술치료후견관절공능채용Neer평정계통진행평정。관찰화통계환자술후만의정도화치료효과。결과통과대환자진행술후3개월도10개월적수방，21례환자무1례출현루방。결합Neer평분표준，재차차적림상연구중，유11례환자위우，유7례환자위만의，유3례환자위불만，총만의도체85.7%。결론경과차차적림상연구，결과현시굉골근단쇄정강판치료대노년반골질소송성굉골근단골절구유현저적림상효과，고정효과교위가고，능구위환자제공조기적공능단련，환자대술후적공능회복교위만의，구유교고적의학응용개치，치득추엄화보급。
Objective This clinical research, the main observation and the locking proximal humeral plate in treating elderly with osteoporotic clinical effect of proximal humeral fractures. Methods The clinical study mainly by our hospital in June 2009 to June 2012 were 21 cases of elderly with osteoporotic patients with proximal humeral fractures as the research object, with 13 cases of female patients in all patients, 8 cases of male patients, patients' age range is 60 years old to 82 years old, at an average age of 6 years. According to Neer taxonomy, the classify all of the patients, among them second part fracture patients in 5 cases, 13 patients with fracture of three parts, part four fracture patients have 3 cases. After surgical treatment with Neer shoulder function evaluation system to assess. Observation and statistics of patients with postoperative satisfaction and therapeutic effect. Results The patients with postoperative 3 months to 10 months of follow-up, none of the twenty-one patients visit to leakage. Combining Neer scoring criteria, in the clinical study, said there are 11 patients, 7 patients satisifed, has three patients, the total satisfaction of 85.7%. Conclusion Through the clinical study, the results show that the locking proximal humeral plate therapy for elderly with osteoporotic fractures of proximal humeral has signiifcant clinical effect, the ifxed effect is relatively reliable, able to provide patients with early functional exercise, obtained satisfactory functional recovery of postoperative patients, medical applications with high value, worthy of promotion and popularization.