中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2013年
7期
104-105
,共2页
肱骨外科颈骨折%肩关节脱位%克氏针内固定%Neer评分
肱骨外科頸骨摺%肩關節脫位%剋氏針內固定%Neer評分
굉골외과경골절%견관절탈위%극씨침내고정%Neer평분
Humerus surgical neck fracture%Shoulder dislocation%Crossed-pin internal fixation%Neer score
目的:研究手术治疗肱骨外科颈骨折合并肩关节脱位的有效方法.方法:按照计算机数字表法将99例肱骨外科颈骨折合并肩关节脱位患者随机分为A、B、C三组,各33例,A组采用切开交叉克氏内固定治疗,B组采用切开钢板内固定治疗,C组采用切开外展支架固定治疗,比较三组患者术后3、7、14d VAS评分,比较患者下床活动时间、骨折愈合时间、平均治疗费用、并发症发生率,术后6个月肩关节功能.结果:A组患者术后3、7、14d明显低于B组和C组,组间比较差异具有统计学意义(P<0.05).A组患者下床时间、骨折愈合时间、平均治疗费用、并发症发生率均低于B组和C组,Neer评分高于B组和C组,组间比较差异具有统计学意义(P<0.05).结论:切开交叉克氏内固定治疗手法闭合整复失败的肱骨外科颈骨折合并肩关节脱位患者具有骨折愈合快,治疗成本和并发症发生率低等优点,可优先选用.
目的:研究手術治療肱骨外科頸骨摺閤併肩關節脫位的有效方法.方法:按照計算機數字錶法將99例肱骨外科頸骨摺閤併肩關節脫位患者隨機分為A、B、C三組,各33例,A組採用切開交扠剋氏內固定治療,B組採用切開鋼闆內固定治療,C組採用切開外展支架固定治療,比較三組患者術後3、7、14d VAS評分,比較患者下床活動時間、骨摺愈閤時間、平均治療費用、併髮癥髮生率,術後6箇月肩關節功能.結果:A組患者術後3、7、14d明顯低于B組和C組,組間比較差異具有統計學意義(P<0.05).A組患者下床時間、骨摺愈閤時間、平均治療費用、併髮癥髮生率均低于B組和C組,Neer評分高于B組和C組,組間比較差異具有統計學意義(P<0.05).結論:切開交扠剋氏內固定治療手法閉閤整複失敗的肱骨外科頸骨摺閤併肩關節脫位患者具有骨摺愈閤快,治療成本和併髮癥髮生率低等優點,可優先選用.
목적:연구수술치료굉골외과경골절합병견관절탈위적유효방법.방법:안조계산궤수자표법장99례굉골외과경골절합병견관절탈위환자수궤분위A、B、C삼조,각33례,A조채용절개교차극씨내고정치료,B조채용절개강판내고정치료,C조채용절개외전지가고정치료,비교삼조환자술후3、7、14d VAS평분,비교환자하상활동시간、골절유합시간、평균치료비용、병발증발생솔,술후6개월견관절공능.결과:A조환자술후3、7、14d명현저우B조화C조,조간비교차이구유통계학의의(P<0.05).A조환자하상시간、골절유합시간、평균치료비용、병발증발생솔균저우B조화C조,Neer평분고우B조화C조,조간비교차이구유통계학의의(P<0.05).결론:절개교차극씨내고정치료수법폐합정복실패적굉골외과경골절합병견관절탈위환자구유골절유합쾌,치료성본화병발증발생솔저등우점,가우선선용.
Objective:To study the effective method of treating humerus surgical neck fracture joint shoulder dislocation. Methods:According to the computer digital table method, 99 patients of humerus surgical neck fracture joint shoulder dislocation were randomly divided into A, B, C three groups, 33 in each group. Group A was given crossed-pin interior fixation, Group B was given open reduction and internal fixation, Group C was given open reduction upper limbs abducens support fixed treatment. Compare VAS scores in three groups postoperative 3, 7, 14 days, out-of-bed activity time, fracture healing time, average treatment costs, complications, and postoperative 6 months of shoulder joint function. Results:VAS scores in group A postoperative 3, 7, 14 days were obviously lower than that in group B and group C, with significant differences (P<0.05). Group A has lower bed time, fracture healing time, average treatment costs and complication rate were lower than those in group B and group C. Neer scores in group A was higher than that in group B and group C, with significant differences (P<0.05). Conclusion:Crossed-pin interior fixation treatment has quick healing time, lower treatment cost and lower complication occurence rate on treating humerus surgical neck fracture joint shoulder dislocation.
