CAJ | 학술논문

目的探讨微创钢板固定术与带锁髓内针固定术治疗肱骨干中上端骨折临床疗效.方法对2008年至2011年收入我院的73例肱骨干中上端新鲜骨折患者,随机分为对照组和实验组.对照组35例,采用微创钢板固定术,实验组38例,采用带锁髓内针固定术.结果对照组手术时间(125±29)min,手术出血量(148±44)mL,实验组手术时间(93±29)min,手术出血量(72±35)mL.对照组手术时间、手术出血量均大于实验组,差异显著(P<0.05);对照组愈合时间(10.2±1.9)周,肩关节评分(85±4),实验组愈合时间(10.4±2.1)周,肩关节评分(86±5),相比无显著差异(P>0.05).结论两种方法都能确定较好疗效,但是带锁髓内针固定术手术时间短,出血少,步骤简便,更适合在基层单位推广.
목적탐토미창강판고정술여대쇄수내침고정술치료굉골간중상단골절림상료효.방법대2008년지2011년수입아원적73례굉골간중상단신선골절환자,수궤분위대조조화실험조.대조조35례,채용미창강판고정술,실험조38례,채용대쇄수내침고정술.결과대조조수술시간(125±29)min,수술출혈량(148±44)mL,실험조수술시간(93±29)min,수술출혈량(72±35)mL.대조조수술시간、수술출혈량균대우실험조,차이현저(P<0.05);대조조유합시간(10.2±1.9)주,견관절평분(85±4),실험조유합시간(10.4±2.1)주,견관절평분(86±5),상비무현저차이(P>0.05).결론량충방법도능학정교호료효,단시대쇄수내침고정술수술시간단,출혈소,보취간편,경괄합재기층단위추엄.
Objective To explore the clinical effect of minimally invasive plate osteosynthesis and intra-medullary locking nail fixation in the treatment of upper humeral fracture. Methods 73 cases of fresh patients with the upper humeral fracture in our hospital from 2008 to 2011 were selected as objects and they were randomly divided into two groups, 35 cases were in the control group and they were taken minimally invasive plate osteosynthesis, 38 cases were in the experiment group and they were taken intra-medullary locking nail fixation. Results The average length of operation in the control group was (125± 29)min and the bleeding volume was (148±44)mL, (93±29)min and (72±35)mL in the experiment group. The length of operation and the bleeding volume of control group were more than experiment group, the difference was statistically significant (P<0.05). The healing time in the control group was (10.2± 1.9)weeks and the shoulder score was (85±4), (10.4±2.1)weeks and (86±5) in the experiment group, the difference was no statistically significant (P>0.05). Conclusion They all have great clinical effect, but intra-medullary locking nail fixation had the advantage of shorter time of operation, the lower bleeding volume and simple procedure. So it is suitable to be widely using in the clinic.