中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
17期
67-68
,共2页
肱骨近端骨折%中老年%锁定钢板内固定术%人工肱骨头置换手术
肱骨近耑骨摺%中老年%鎖定鋼闆內固定術%人工肱骨頭置換手術
굉골근단골절%중노년%쇄정강판내고정술%인공굉골두치환수술
Proximal humerus fractures%Elderly%Locking plate fixation%Humeral head replacement surgery
目的 探讨锁定钢板内固定术和人工肱骨头置换手术应用于治疗中老年肱骨近端骨折的有效性.方法 选择2011年1月至2014年12月在许昌市中心医院接受治疗的102例肱骨近端骨折中老年患者,观察组51例患者采用人工肱骨头置换手术,对照组51例患者采用锁定钢板内固定术,比较两种手术的效果.结果 对照组的优良率仅为74.51%,明显低于观察组(96.08%).对照组满意度仅可为72.55%,明显低于观察组(96.08%).两组肱骨近端骨折中老年患者的康复效果、手术情况、满意度比较差异有统计学意义(P<0.05).结论 人工肱骨头置换手术应用于治疗肱骨近端骨折中老年患者切实可行,安全可靠.
目的 探討鎖定鋼闆內固定術和人工肱骨頭置換手術應用于治療中老年肱骨近耑骨摺的有效性.方法 選擇2011年1月至2014年12月在許昌市中心醫院接受治療的102例肱骨近耑骨摺中老年患者,觀察組51例患者採用人工肱骨頭置換手術,對照組51例患者採用鎖定鋼闆內固定術,比較兩種手術的效果.結果 對照組的優良率僅為74.51%,明顯低于觀察組(96.08%).對照組滿意度僅可為72.55%,明顯低于觀察組(96.08%).兩組肱骨近耑骨摺中老年患者的康複效果、手術情況、滿意度比較差異有統計學意義(P<0.05).結論 人工肱骨頭置換手術應用于治療肱骨近耑骨摺中老年患者切實可行,安全可靠.
목적 탐토쇄정강판내고정술화인공굉골두치환수술응용우치료중노년굉골근단골절적유효성.방법 선택2011년1월지2014년12월재허창시중심의원접수치료적102례굉골근단골절중노년환자,관찰조51례환자채용인공굉골두치환수술,대조조51례환자채용쇄정강판내고정술,비교량충수술적효과.결과 대조조적우량솔부위74.51%,명현저우관찰조(96.08%).대조조만의도부가위72.55%,명현저우관찰조(96.08%).량조굉골근단골절중노년환자적강복효과、수술정황、만의도비교차이유통계학의의(P<0.05).결론 인공굉골두치환수술응용우치료굉골근단골절중노년환자절실가행,안전가고.
Objective To investigate the effects of locking plate fixation and humeral head replacement surgery on proximal humerus fractures in the elderly.Methods From January 2011 to December 2014,102 elderly patients with proximal humerus fractures were chosen.The 51 cases in the observation group had humeral head replacement surgery,and the 51 cases in the control group had locking plate fixation.The surgical results were compared.Results The excellent rate of the control group was only 74.51%,which was significantly lower than that of the observation group (96.08%).The degree of satisfaction of the control group only was 72.55%,which was significantly lower than that of the observation group (96.08%).There were significant differences in rehabilitation,surgical cases,satisfaction degree between the two groups (P < 0.05).Conclusions The humeral head replacement surgery used in the treatment of proximal humeral fractures in elderly patients is practicable,safe and reliable.