中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
2期
7-9
,共3页
锁定加压钢板%肱骨近端骨折%手术疗效%不良反应
鎖定加壓鋼闆%肱骨近耑骨摺%手術療效%不良反應
쇄정가압강판%굉골근단골절%수술료효%불량반응
Locking compression plate%Proximal humerus fractures%Surgery efficacy%Adverse reaction
目的 研究锁定加压钢板(LCP)术式对肱骨近端骨折(PHF)患者的手术疗效及不良反应的影响.方法 2010年3月至2013年3月选择接受手术治疗的PHF患者104例作为研究对象,其中接受三叶草钢板治疗者52例为对照组.接受LCP术式固定者52例为观察组.两组实施相应治疗后随访1年,统计并对比两组手术情况、疗效以及不良反应情况.结果 观察组治疗后Neer评分为(92.13±5.14)分,显著高于治疗前的(65.88±4.30)分以及对照组治疗后的(83.66±4.85)分,差异均有统计学意义(P＜0.05).两组手术时间比较差异无统计学意义(P＞0.05).观察组术中出血量为(130.2±15.4)ml,骨折愈合时间为(17.7±1.3)周,住院时间为(18.9±5.7)d,均显著少于对照组的(276.6±13.3)ml、(28.6±1.7)周和(25.1±3.6)d,差异均有统计学意义(P均＜0.05).观察组不良反应的总发生率为11.54％ (6/52),显著低于对照组的32.69％(17/52),差异有统计学意义(P＜0.05).结论 LCP术式治疗PHF患者可获得较好疗效,且有着比较高的安全性,值得临床推荐.
目的 研究鎖定加壓鋼闆(LCP)術式對肱骨近耑骨摺(PHF)患者的手術療效及不良反應的影響.方法 2010年3月至2013年3月選擇接受手術治療的PHF患者104例作為研究對象,其中接受三葉草鋼闆治療者52例為對照組.接受LCP術式固定者52例為觀察組.兩組實施相應治療後隨訪1年,統計併對比兩組手術情況、療效以及不良反應情況.結果 觀察組治療後Neer評分為(92.13±5.14)分,顯著高于治療前的(65.88±4.30)分以及對照組治療後的(83.66±4.85)分,差異均有統計學意義(P＜0.05).兩組手術時間比較差異無統計學意義(P＞0.05).觀察組術中齣血量為(130.2±15.4)ml,骨摺愈閤時間為(17.7±1.3)週,住院時間為(18.9±5.7)d,均顯著少于對照組的(276.6±13.3)ml、(28.6±1.7)週和(25.1±3.6)d,差異均有統計學意義(P均＜0.05).觀察組不良反應的總髮生率為11.54％ (6/52),顯著低于對照組的32.69％(17/52),差異有統計學意義(P＜0.05).結論 LCP術式治療PHF患者可穫得較好療效,且有著比較高的安全性,值得臨床推薦.
목적 연구쇄정가압강판(LCP)술식대굉골근단골절(PHF)환자적수술료효급불량반응적영향.방법 2010년3월지2013년3월선택접수수술치료적PHF환자104례작위연구대상,기중접수삼협초강판치료자52례위대조조.접수LCP술식고정자52례위관찰조.량조실시상응치료후수방1년,통계병대비량조수술정황、료효이급불량반응정황.결과 관찰조치료후Neer평분위(92.13±5.14)분,현저고우치료전적(65.88±4.30)분이급대조조치료후적(83.66±4.85)분,차이균유통계학의의(P＜0.05).량조수술시간비교차이무통계학의의(P＞0.05).관찰조술중출혈량위(130.2±15.4)ml,골절유합시간위(17.7±1.3)주,주원시간위(18.9±5.7)d,균현저소우대조조적(276.6±13.3)ml、(28.6±1.7)주화(25.1±3.6)d,차이균유통계학의의(P균＜0.05).관찰조불량반응적총발생솔위11.54％ (6/52),현저저우대조조적32.69％(17/52),차이유통계학의의(P＜0.05).결론 LCP술식치료PHF환자가획득교호료효,차유착비교고적안전성,치득림상추천.
Objective To study the surgical curative effect and adverse reactions of locking compression plate(LCP) on patients with proximal humeral fractures(PHF).Methods From March 2010 to March 2013,104 cases of PHF treated with surgical treatment were selected as the research objects,52 cases treated with clover plate as the control group,52 cases received the LCP operation as the observation group.Both groups were followed up for one year after treatment,the surgery station,curative effect and adverse reactions were compared between the two groups.Results Neer rating of the observation group after treatment was (92.13 ± 5.14) points,which was significantly higher than (65.88 ± 4.30) points before treatment and control group after treatment of(83.66 ± 4.85) points,the differences were statistically significant (P ＜ 0.05).The operation time had no statistically significant difference between the two groups(P ＞0.05).Bleeding amount of the observation group was(130.2 ± 15.4) ml,fracture healing time was(17.7 ± 1.3) weeks,length of hospital stay was(18.9 ± 5.7) d,which were significantly less than that of the control group[(276.6 ± 13.3) ml,(28.6 ± 1.7) weeks and(25.1 ± 3.6) d],the differences were statistically significant(P all ＜ 0.05).In observation group,the total incidence of adverse reactions was 11.54％ (6/52),which was significantly lower than that of the control group[32.69％ (17/52)],the difference was statistically significant(P ＜ 0.05).Conclusions LCP in therapy of PHF patients has good curative effect,and has higher security,it is worthy of clinical recommendations.
