人工肱骨头置换术治疗高龄严重肱骨近端病患临床研究.docVIP

人工肱骨头置换术治疗高龄严重肱骨近端病患的临床研究 　　[摘要] 目的 探讨人工肱骨头置换术治疗高龄严重肱骨近端病患的临床疗效。方法 选取2008年1月～2013年1月80例高龄严重肱骨近端病患按随机数字表均分为两组。研究组使用人工肱骨头置换术，对照组采用微创PHILOS钢板内固定术。术后观察两组患者临床治愈时间、术后并发症发生情况及肩关节活动、功能评分。 结果 研究组在临床治愈时间、术后并发症及肩关节活动、功能评分方面优于对照组，差异有统计学意义（P0.05）。结论 人工肱骨头置换术治疗高龄严重肱骨近端病患具有愈合快、术后并发症少、肩关节活动、功能情况较好的优点，具有较好的疗效。 　　[关键词] 高龄；人工肱骨头置换术；微创PHILOS钢板内固定术 　　[中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701（2014）17-0154-04 　　Clinical study of artificial humeral head replacement treatment of elderly patients with severe proximal humeral diseases 　　SUN Xiaohai 　　Department of Orthopedics， Taizhou First Peoples Hospital in Zhejiang Province， Taizhou 318200，China 　　[Abstract] Objective To investigate the clinical efficacy of artificial humeral head replacement for elderly patients with severe proximal humeral diseases. Methods Eighty patients with severe proximal humeral diseases treated from January 2008 to January 2013 were divided into two groups according to the random number table. The study group received artificial humeral head replacement and the control group received minimally invasive PHILOS steel plate internal fixation. The clinical cure time， postoperative complications and shoulder joint mobility and function scores of the two groups were observed. Results The study group were better than the control group in the clinical cure time， postoperative complications and shoulder joint mobility and function scores， with statistically significant differences（P0.05）.Conclusion In the treatment of elderly patients with severe proximal humeral diseases， artificial humeral head replacement has the advantages of fast recovery， fewer postoperative complications， and better should joint mobility and function， showing good efficacy. 　　[Key words] Elderly； Artificial humeral head replacement； PHILOS steep plate internal fixation 　　近年来，随着老龄化社会的发展，肩关节疾病发病率日益上升[1]。其治疗方法须考虑全身情况、骨质疏松程度、功能恢复、肱骨头血运及软组织完整性等多方面因素，人工肩关节置换技术的发展及患者对肩关节病损后功能恢复愿望的日益提高，人工肱骨头置换术已成为治疗严重肩关节病损的有效方法[2，3]。近年来我科采用人工肩关节置换术治疗高龄严重肱骨近端病患取得较