中医临床研究
中醫臨床研究
중의림상연구
Clinical Journal of Chinese Medicine
2015年
30期
122-124
,共3页
肱骨近端骨折%锁定钢板内固定%髂骨髓内移植%疗效对比
肱骨近耑骨摺%鎖定鋼闆內固定%髂骨髓內移植%療效對比
굉골근단골절%쇄정강판내고정%가골수내이식%료효대비
Proximal humeral fracture%Locking plate internal fixation%With phil within the bone marrow transplantation%Curative comparison
目的:探讨和研究锁定钢板内固定联合髂骨髓内移植与单纯内固定治疗肱骨近端骨折的疗效.方法:研究对象选取为2013年5月—2014明年9月我院收治的60例肱骨近端骨折患者,随机分为观察组和对照组各30例,两组患者在一般资料对比上显著无统计学差异,对照组采用单纯内固定治疗,观察组则采用锁定钢板内固定联合髂骨髓内移植治疗,对比两组患者的骨折愈合时间、肩臂手功能障碍评分(DASH)、肱骨头高度丢失、Neer评分及并发症情况.结果:观察组患者的骨折愈合时间、DASH评分及肱骨头高度丢失情况均显著优于对照组,差异具有统计学意义(P<0.05);观察组患者的Neer评分优良率为93.3%,显著高于对照组的76.7%,差异具有统计学意义(P<0.05);观察组术后并发症发生率为3.3%,显著低于对照组的36.7%,差异具有统计学意义(P<0.05).结论:采用锁定钢板内固定联合髂骨髓内移植治疗肱骨近端骨折的疗效明显优于单纯采用锁定钢板内固定治疗,前者能够加速患者的骨折愈合,确保关节功能恢复,减少术后并发症的发生,值得临床推广.
目的:探討和研究鎖定鋼闆內固定聯閤髂骨髓內移植與單純內固定治療肱骨近耑骨摺的療效.方法:研究對象選取為2013年5月—2014明年9月我院收治的60例肱骨近耑骨摺患者,隨機分為觀察組和對照組各30例,兩組患者在一般資料對比上顯著無統計學差異,對照組採用單純內固定治療,觀察組則採用鎖定鋼闆內固定聯閤髂骨髓內移植治療,對比兩組患者的骨摺愈閤時間、肩臂手功能障礙評分(DASH)、肱骨頭高度丟失、Neer評分及併髮癥情況.結果:觀察組患者的骨摺愈閤時間、DASH評分及肱骨頭高度丟失情況均顯著優于對照組,差異具有統計學意義(P<0.05);觀察組患者的Neer評分優良率為93.3%,顯著高于對照組的76.7%,差異具有統計學意義(P<0.05);觀察組術後併髮癥髮生率為3.3%,顯著低于對照組的36.7%,差異具有統計學意義(P<0.05).結論:採用鎖定鋼闆內固定聯閤髂骨髓內移植治療肱骨近耑骨摺的療效明顯優于單純採用鎖定鋼闆內固定治療,前者能夠加速患者的骨摺愈閤,確保關節功能恢複,減少術後併髮癥的髮生,值得臨床推廣.
목적:탐토화연구쇄정강판내고정연합가골수내이식여단순내고정치료굉골근단골절적료효.방법:연구대상선취위2013년5월—2014명년9월아원수치적60례굉골근단골절환자,수궤분위관찰조화대조조각30례,량조환자재일반자료대비상현저무통계학차이,대조조채용단순내고정치료,관찰조칙채용쇄정강판내고정연합가골수내이식치료,대비량조환자적골절유합시간、견비수공능장애평분(DASH)、굉골두고도주실、Neer평분급병발증정황.결과:관찰조환자적골절유합시간、DASH평분급굉골두고도주실정황균현저우우대조조,차이구유통계학의의(P<0.05);관찰조환자적Neer평분우량솔위93.3%,현저고우대조조적76.7%,차이구유통계학의의(P<0.05);관찰조술후병발증발생솔위3.3%,현저저우대조조적36.7%,차이구유통계학의의(P<0.05).결론:채용쇄정강판내고정연합가골수내이식치료굉골근단골절적료효명현우우단순채용쇄정강판내고정치료,전자능구가속환자적골절유합,학보관절공능회복,감소술후병발증적발생,치득림상추엄.
Objective: To study and research the curative effects and contrasts of joint locking plate internal fixation,with bone marrow transplant and simple internal fixation in treatment of proximal humeral fractures.Methods: 60 patients were chosen from our hospital between May,2013 to Sept.2014 with proximal humeral fractures and were divided into observation group and control group with 30 cases each,two groups of patients had no significant differences in general data contrast,control group adopts pure internal fixation treatment,observation group adopts bone marrow transplantation with locking plate internal fixation treatment.The two groups patients were after the treatments on the basis of fracture healing time,JianBei hand dysfunction score (DASH),humerus head height loss,Neer scores and complications.Results: observation group of patients had significantly better fracture healing time,DASH score and humerus head height loss situation were than the control group,the difference was statistically significant (P<0.05); Neer rating of observation group patients was 93.3%,and was significantly higher than that of control group 76.7%,the difference was statistically significant (P<0.05); the incidence of postoperative complications in the observation group was 3.3% which was significantly less than 36.7% of the control group,the difference was statistically significant (P<0.05).Conclusion: using joint locking plate internal fixation and bone marrow transplantation in treatment of proximal humeral fractures curative effect is superior to pure with locking plate internal fixation treatment,the former can accelerate fracture healing in patients with,ensure the joint function recovery,reduce the occurrence of postoperative complications,which is worthy of clinical promotion and application.
