CAJ | 학술논문

目的：观察锁定钢板治疗肱骨近端骨折的临床疗效。方法选取本院2009年1月至2010年6月收治的60例肱骨近端骨折患者，按照手术方法分为治疗组和对照组。对照组采用传统手术方法，治疗组采用肱骨近端锁定钢板治疗。比较两组治疗后的优良率和差率。结果肩关节功能按照Neer评分标准，治疗组：优20例，良7例，可3例，差0例，优良率和差率分别为90．0％和0．0％；对照组：优8例，良4例，可9例，差9例，优良率和差率分别为40．0％和30．0％。两组优良率和差率的差异有显著意义（P＜0．01）。结论采用肱骨近端锁定钢板的治疗效果满意，值得临床推广。
목적：관찰쇄정강판치료굉골근단골절적림상료효。방법선취본원2009년1월지2010년6월수치적60례굉골근단골절환자，안조수술방법분위치료조화대조조。대조조채용전통수술방법，치료조채용굉골근단쇄정강판치료。비교량조치료후적우량솔화차솔。결과견관절공능안조Neer평분표준，치료조：우20례，량7례，가3례，차0례，우량솔화차솔분별위90．0％화0．0％；대조조：우8례，량4례，가9례，차9례，우량솔화차솔분별위40．0％화30．0％。량조우량솔화차솔적차이유현저의의（P＜0．01）。결론채용굉골근단쇄정강판적치료효과만의，치득림상추엄。
Objectives To observe the clinical effect of locking plate in the treatment of proximal humeral fractures.Methods A total of 60 patients with proximal humeral fractures admitted in our hospital from January 2009 to June 2010 were divided into treatment group treated with locking plate and control group with conventional operation,according to the surgical methods,30 cases for each.The excellent and good rate and the bad rate between two groups were compared.Results According to Neer grading,in treatment group,20 patients were excellent in shoulder-joint function,7 patients were good,3 patients were able and none were bad, with excellent and good rate and bad rate being 90.0%and 0.0%,respectively,while in control group,8 patients were excellent,4 patients were good,9 patients were able and 9 patients were bad, with excellent and good rate and bad rate being 40.0% and 30.0%,respectively,and both differences were significant (P<0.01).Conclusions The application of locking proximal humerus plate is satisfactory curative effect,which is worthy of clinical promotion.