CAJ | 학술논문

目的：比较肱骨近端加压锁定钢板(LPHP)与传统钢板治疗肱骨近端骨折的临床疗效。方法随机选择该院2013年1月-2015年1月收治的肱骨近端骨折患者40例患者给予传统钢板治疗为对照组，并选择同期40例患者给予肱骨近端加压锁定钢板治疗为治疗组，对两组患者治疗前后的Neer评分、并发症发生情况和骨折愈合时间进行对比分析。结果治疗后实验组患者的Neer评分(96.13±7.62)显著优于对照组患者(80.06±7.75)。另外实验组患者的并发症发生率(5.0%)和骨折愈合时间(12.24±2.31)周显著优于对照组患者(分别为22.5%和16.41±3.15周)。结论在临床治疗肱骨近端骨折患者时，采用肱骨近端加压锁定钢板能对患者骨折处的血运进行有效保护，让骨折更快愈合，而且并发症发生率低，临床效果明显，值得临床推广应用。
목적：비교굉골근단가압쇄정강판(LPHP)여전통강판치료굉골근단골절적림상료효。방법수궤선택해원2013년1월-2015년1월수치적굉골근단골절환자40례환자급여전통강판치료위대조조，병선택동기40례환자급여굉골근단가압쇄정강판치료위치료조，대량조환자치료전후적Neer평분、병발증발생정황화골절유합시간진행대비분석。결과치료후실험조환자적Neer평분(96.13±7.62)현저우우대조조환자(80.06±7.75)。령외실험조환자적병발증발생솔(5.0%)화골절유합시간(12.24±2.31)주현저우우대조조환자(분별위22.5%화16.41±3.15주)。결론재림상치료굉골근단골절환자시，채용굉골근단가압쇄정강판능대환자골절처적혈운진행유효보호，양골절경쾌유합，이차병발증발생솔저，림상효과명현，치득림상추엄응용。
Objective To compare the clinical effect of proximal humerus locking compression plate(LPHP) with conventional steel plate in treating proximal humeral fractures. Methods 40 patients with proximal humeral fracture admitted to our hospital between January 2013 and January 2015 were assigned to control group treated with conventional plate, and other 40 patients in the same period were assigned to experimental group receiving LPHP. Neer score before and after treatment, complications and fracture healing time were compared between the two groups. Results After the treatment, the Neer score (96.13±7.62 vs 80.06±7.75) was higher, complication rate (5.0%vs 22.5%) lower and fracture healing time (12.24±2.31 weeks vs 16.41±3.15 weeks) shorter in the experimental group than in the control group. Conclusion In treating patients with proximal humeral fractures, LPHP can improve the blood supply at fracture site, shorten the fracture healing time with less adverse reaction and remarkable effect.