CAJ | 학술논문

目的：观察不同的内固定材料治疗老年肱骨近端骨折的临床效果。方法对2009年10月至2012年2月河北医科大学第三医院创伤骨科收治的年龄＞60岁的肱骨近端骨折患者284例，将其按随机数字法分为2组，每组各142例，分别应用肱骨近端锁定接骨板（ LPHP）和肱骨近端内固定锁定钢板系统（ PHILOS）为内固定材料进行治疗，比较两组患者的治疗效果。结果 PHILOS组患者骨折愈合时间为（11．64±3．81）周，明显短于LPHP组（14．95±3．95）周（t＝3．164，P＝0．033）；术后3个月，LPHP组肱骨近端四部分骨折患者疼痛发生率72．41％，高于PHILOS组的64．81％（ P＜0．05）；术后2年两组患者Neer肩关节功能评分差异无统计学意义（P＞0．05）。结论 PHILOS和LPHP在治疗老年肱骨近端骨折上均具有良好的临床效果，但PHILOS更有利于骨折的愈合。
목적：관찰불동적내고정재료치료노년굉골근단골절적림상효과。방법대2009년10월지2012년2월하북의과대학제삼의원창상골과수치적년령＞60세적굉골근단골절환자284례，장기안수궤수자법분위2조，매조각142례，분별응용굉골근단쇄정접골판（ LPHP）화굉골근단내고정쇄정강판계통（ PHILOS）위내고정재료진행치료，비교량조환자적치료효과。결과 PHILOS조환자골절유합시간위（11．64±3．81）주，명현단우LPHP조（14．95±3．95）주（t＝3．164，P＝0．033）；술후3개월，LPHP조굉골근단사부분골절환자동통발생솔72．41％，고우PHILOS조적64．81％（ P＜0．05）；술후2년량조환자Neer견관절공능평분차이무통계학의의（P＞0．05）。결론 PHILOS화LPHP재치료노년굉골근단골절상균구유량호적림상효과，단PHILOS경유리우골절적유합。
Objective To explore the clinical efficacies of different internal fixation materials in the treatment of senile proximal humerus fractures.Methods A total of 284 hospitalized patients of proximal humerus fractures over 60 years of age cases from October 2009 to February 2012 were randomly divided into two groups of locking proximal humeral plate ( LPHP ) and PHILOS ( n =142 each ) .And the clinical efficacies of two groups were compared.Results For PHILOS and LPHP groups, the fracture healing periods were(11.64 ±3.81)and(14.95 ±3.95)weeks.And there was statistical significance (P<0.05). At 3 months post-surgery, the incidence of pain was 72.41% and 64.81%.And there was statistical significance (P<0.05).At 2 years,Neer shoulder function score had inter-group statistically insignificant difference ( P>0.05 ) .Conclusion Both PHILOS and LPHP are effective in the treatment of senile proximal humeral fractures.However,the former is conducive to fracture healing and has shorter healing time and lowered postoperative pain.