肱骨中下段骨折手术治疗和非手术治疗疗效对比分析.docVIP

肱骨中下段骨折手术治疗和非手术治疗疗效对比分析 　　[摘要] 目的 对比分析手术治疗及非手术治疗肱骨中下段骨折的临床疗效。 方法 研究对象共139例，均为2013年1月～2014年4月期间来徐州医学院附属医院就诊的肱骨中下段骨折患者，将所有患者分为两组，对照组69例，手术方法治疗，研究组70例，用非手术方法治疗，比较两组骨折愈合率、骨折愈合时间、桡神经损伤、肘关节Mayo评分。 结果 （1）研究组骨折愈合率、肘关节Mayo评分与对照组比较差异无统计学意义（P0.05）。（2）研究组骨折愈合时间与对照组比较较少，桡神经损伤发生率较低，两组差异有统计学意义（P0.05）。 结论 非手术的方法治疗肱骨中下段骨折临床疗效与手术治疗相近，但骨折愈合时间更短，桡神经损伤发生风险更低，有较高的安全性，可作为一种治疗肱骨中下段骨折的有效方法在临床推广应用。 　　[关键词] 肱骨骨折；手术；非手术；愈合 　　[中图分类号] R687.3 [文献标识码] B [文章编号] 2095-0616（2015）20-182-03 　　Comparison efficacy of humeral shaft fracture treated with surgery and non-surgical treatment 　　ZHOU Bing1 CHEN Zheng2 　　1.Department of Orthopedics， Affiliated Hospital of Xuzhou Medical College， Xuzhou 221005， China； 2.Department of Orthopedics，Xuzhou City Love Hospital， Xuzhou 221003， China 　　[Abstract] Objective To compare the clinical efficacy of humeral shaft fracture treated with surgery and non-surgical. Methods 139 cases with humeral shaft fracture were selected from January 2013 to April 2014 in Affiliated Hospital of Xuzhou medical college， all the patients were divided into two groups. There were 69 cases in the control group， they were treated with surgical treatment， there were 70 cases in the study group， they were treated with non-surgical methods of treatment. The fracture healing rate， healing time， radial nerve injury， Mayo elbow score of two groups were compared. Results （1） There were no significant difference in the rate of fracture healing， Mayo elbow score between the study group and the control group（P0.05）. （2） The fracture healing time in the study group was lower than the control group， incidence of radial nerve injury incidence was lower than the control group， the difference was statistically significant （P0.05）. Conclusion Effective non-surgical way to treat the conclusion under similar clinical efficacy and fractures of the humerus in surgery， but a shorter healing time， less risk of radial nerve injury， there is a high security， can be used as a treatment for humeral fractur