中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
33期
35-37
,共3页
老年肱骨近端粉碎性骨折%人工半肩关节置换术%效果
老年肱骨近耑粉碎性骨摺%人工半肩關節置換術%效果
노년굉골근단분쇄성골절%인공반견관절치환술%효과
Comminuted fractures of the proximal humerus in the elderly%Artificial semi-shoulder joint replacement%Effect
目的：探讨分析老年肱骨近端粉碎性骨折患者行人工半肩关节置换术的临床效果。方法选择该院2010年1月—2012年6月收治的80例老年肱骨近端粉碎性骨折患者的临床资料进行回顾性整理，根据手术方式分为观察组和对照组两组，每组40例，观察组行人工半肩关节置换术，对照组行钢板内固定术，比较两组治疗效果。结果观察组手术时间、术中出血量及术后引流量明显少于对照组；观察组术后并发症发生率7.50%，显著低于对照组21.50%；观察组优良率92.50%，显著高于对照组72.50%，差异有统计学意义(P<0.05)。结论人工半肩关节置换术治疗老年肱骨近端粉碎性骨折，患者术后恢复快，并发症少，可以显著提高治疗效果。
目的：探討分析老年肱骨近耑粉碎性骨摺患者行人工半肩關節置換術的臨床效果。方法選擇該院2010年1月—2012年6月收治的80例老年肱骨近耑粉碎性骨摺患者的臨床資料進行迴顧性整理，根據手術方式分為觀察組和對照組兩組，每組40例，觀察組行人工半肩關節置換術，對照組行鋼闆內固定術，比較兩組治療效果。結果觀察組手術時間、術中齣血量及術後引流量明顯少于對照組；觀察組術後併髮癥髮生率7.50%，顯著低于對照組21.50%；觀察組優良率92.50%，顯著高于對照組72.50%，差異有統計學意義(P<0.05)。結論人工半肩關節置換術治療老年肱骨近耑粉碎性骨摺，患者術後恢複快，併髮癥少，可以顯著提高治療效果。
목적：탐토분석노년굉골근단분쇄성골절환자행인공반견관절치환술적림상효과。방법선택해원2010년1월—2012년6월수치적80례노년굉골근단분쇄성골절환자적림상자료진행회고성정리，근거수술방식분위관찰조화대조조량조，매조40례，관찰조행인공반견관절치환술，대조조행강판내고정술，비교량조치료효과。결과관찰조수술시간、술중출혈량급술후인류량명현소우대조조；관찰조술후병발증발생솔7.50%，현저저우대조조21.50%；관찰조우량솔92.50%，현저고우대조조72.50%，차이유통계학의의(P<0.05)。결론인공반견관절치환술치료노년굉골근단분쇄성골절，환자술후회복쾌，병발증소，가이현저제고치료효과。
Objective To explore and analyze the clinical effect of artificial semi-shoulder joint replacement on comminuted frac-tures of the proximal humerus in the elderly. Methods The clinical data of 80 elderly patients with comminuted fractures of the proximal humerus admitted in our hospital from January 2010 to June 2012 were selected and sorted out retrospectively. According to the surgical mode, the patients were divided into two groups, the observation group and the control group with 40 patients in each. The observation group was treated by artificial semi-shoulder joint replacement, and the control group was treated by inter-nal fixation with steel plate. And the curative effects were compared between the two groups. Results The operation time, amount of bleeding during operation and postoperative drainage volume in the observation group were less than those in the control group, the differences were statistically significant (P<0.05). The incidence of postoperative complications of the observation group was 7.50%, it was significantly lower than that of the control group (21.50%), the difference was statistically significant ( P<0.05). The excellent and good rate in the observation group was 92.50%, it was significantly higher than that of the control group (72.50%), the difference was statistically significant (P<0.05). Conclusion For elderly patients with comminuted fractures of the proximal humerus, artificial semi-shoulder joint replacement can significantly improve the therapeutic effect, the patients can recover more quickly after the operation with less complications.
