探讨新辅助化疗对结肠癌患者手术及预后影响.docVIP

探讨新辅助化疗对结肠癌患者手术及预后影响 　　[摘要] 目的 研究分析经皮微创锁定钢板内固定术治疗肱骨近端粉碎性骨折的术后康复效果。方法 选取该院收治的60例肱骨近端粉碎性骨折患者，随机分为两组各30例，对照组给予切开复位内固定手术，观察组给予经皮微创锁定钢板内固定手术，对比分析两组患者临床治疗效果。结果 观察组的治疗优良率显著高于对照组，差异具有统计学意义（P0.05）。结论 经皮微创锁定钢板内固定术治疗肱骨近端粉碎性骨折具有较高的临床应用价值，能够有效促进功能恢复和骨伤愈合，缩短住院时间，值得临床大力推广。 　　[关键词] 经皮微创锁定内固定术；肱骨近端粉碎性骨折 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742（2015）05（c）-0069-02 　　[Abstract] Objective To study the analysis of minimally invasive percutaneous locking plate fixation for the treatment of proximal humerus comminuted fracture rehabilitation effect after operation. Methods comminuted fractures of the proximal humerus in 60 patients in our hospital， were randomly divided into two groups of 30 cases， the control group received open reduction and internal fixation operation， the observation group was treated with minimally invasive percutaneous locking plate internal fixation， compared two groups of patients with clinical curative effect. Results the excellent and good rate of the therapeutic group was significantly higher than the control group， the difference was significant （P0.05）； observation group bleeding volume during operation， hospitalization time， fracture healing time was significantly less than that in the control group， the difference was significant （P0.05）. Conclusion minimally invasive percutaneous locking plate fixation for comminuted fractures of the proximal humerus can promote functional recovery and fracture healing， shorten the time of hospitalization， worthy of clinical popularization. 　　[Keywords] Minimally invasive percutaneous locking internal fixation； comminuted fractures of the proximal humerus 　　肱骨近端粉碎性骨折主要包括大小结节、肱骨头和肱骨干近端等结构的骨折，主要指肱骨外科颈以远1～2 cm到肱骨头关节面间的粉碎性骨折[1]。研究资料表明，肱骨近端肌肉和骨骼解剖较为复杂，患者通常伴随显著的肩袖损伤和移位，采用保守治疗和传统内固定手术治疗效果并不显著[2]。该研究选取该院收治的肱骨近端粉碎性骨折给予经皮微创锁定钢板内固定治疗，效果显著。现将研究资料总结如下。 　　1 资料与方法 　　1.1 一般资料 　　选取该院收治的60例肱骨近端粉碎性骨折患者，将所有患者随机分为对照组和观察组各30例。对照组患者男17例，女13例；年龄31～78岁，平均年龄为（59.1±9.6）岁。观察组患者男18例，女12例；年龄30～77岁，平均年龄为（57.3±9.1）岁。其中致伤原因：摔伤13例、车祸伤19例、压砸伤12例、坠