肱骨近端锁定钢板与髓内钉治疗肱骨外科颈骨折的临床对比分析.docVIP

精品论文 参考文献 肱骨近端锁定钢板与髓内钉治疗肱骨外科颈骨折的临床对比分析 曾德清 　　遂宁市中医院　四川　遂宁　６２９０００ 　　【摘要】　目的　探讨肱骨近端锁定钢板与髓内钉治疗肱骨外科颈骨折临床疗效差异.方法　选取２０１４年２月~２０１５年１月我院收治肱骨外科颈骨折患者６８ 例为研究对象,根据患者手术方式分为A、B两组,分别采用近端锁定钢板与髓内钉固定,比较两组患者手术时间、术中出血量、骨折愈合时间及肩关节功能.结果　A组手术时间、术中出血量及骨折愈合时间均多于B组[(１０９．５plusmn;１８．３)min比(７６．８plusmn;１１．７)min,(９５．７plusmn;１２．２)ml比(５１．８plusmn;１０．７)ml,(１５．１plusmn;３．４)周比(１０．８plusmn;３．７)周,P＜０．０５].两组患者Constant评分及外旋角度比较差异无统计学意义(P＞０．０５);A组患者内旋、外展、前屈角度均大于B组[(６２．１plusmn;５．２)deg;比(５８．６plusmn;８．１)deg;,(１３３．２plusmn;２１．１)deg; 比(１１８．２plusmn;１８．８)deg;,(１５２．１plusmn;２１．１)deg;比(１３８．７plusmn;１７．２)deg;,P＜０．０５].结论　髓内钉内固定治疗肱骨外科颈骨折较肱骨近端髓钉钢板治疗可减小对患者创伤,缩短患者骨折愈合时间,且两者对肩关节功能恢复具有显著促进作用. 【关键词】　肱骨近端锁定钢板;髓内钉;肱骨外科颈骨折;肩关节Clinicalcomparativeanalysisofproximalhumerallockingplatesandintramedullarynailingofhumeralsurgicalneckfracture　CengDeqing　(suiningcityhospitalofsichuanprovinceSuining６２９０００)．【Abstract】objective　Toevaluatetheclinicalefficacydifferenceslockingproximalhumerusplateandintramedullarynailhumeralsurgicalneckfracture．Method　Select６８patientsinFebruary２０１４－January２０１５inourhospitalforsurgicalneckfracturesofthestudy,accordingsurgerypatientsdividedintoA,Bgroups,respectivelyproximallocＧkingplatesandintramedullarynailfixation,comparethetwogroupsofpatientsintheoperationtime,bloodloss,healingtimeandjointfunction．Result　Theoperationtime,bloodlossandhealingtimeAgroupweremorethanthegroupB[(１０９．５plusmn;１８．３)minvs．(７６．８plusmn;１１．７)min,(９５．７plusmn;１２．２)mlvs．(５１．８plusmn;１０．７)ml,(１５．１plusmn;３．４)weeksvs．(１０．８plusmn;３．７)weeks,P＜０．０５]．TwogroupsofpatientsandexternalrotationConstantscoredifferencewasnotstatisticallysignificant(P＞０．０５);thepatientrotation,abＧduction,flexionangleAgroupwerehigherthangroupB[(６２．１plusmn;５．２)deg;vs．(５８．６plusmn;８．１)deg;,(１３３．２plusmn;２１．１)deg;vs．(１１８．２plusmn;１８．８)deg;,(１５２．１plusmn;２１．１)deg;vs．(１３８．７plusmn;１７．２)deg;,P＜０．０５]．Conclusion　Intramedullarynailfixationofhumeralsurgicalneckfracturesoftheproximalhumerusnailplatetreatmentcanreducepatienttrauma,shortenhealingtimei【nKepyatiweonrtdss,a】ndbothofshoulderfunctionrecov