肱骨近端锁定钢板与髓内钉治疗NeerⅡ型肱骨外科颈骨折疗效研究.docVIP

肱骨近端锁定钢板与髓内钉治疗NeerⅡ型肱骨外科颈骨折疗效研究 　　【摘要】 目的 研究肱骨近端锁定钢板与髓内钉治疗NeerⅡ型肱骨外科颈骨折的临床疗效。方法 68例NeerⅡ型肱骨外科颈骨折患者， 采用随机数字表法分为观察组与对照组， 各34例。对照组患者采用肱骨近端锁定钢板固定术治疗， 观察组患者采用肱骨近端髓内钉固定术治疗。对比两组患者临床治疗效果。结果 观察组患者手术时间较短， 术中出血量较少， 骨折愈合时间较短， 与对照组患者比较差异具有统计学意义（P0.05）。结论 肱骨近端锁定钢板与髓内钉在治疗NeerⅡ型肱骨外科颈骨折均具有较好的效果， 可显著改善患者颈干角与肩关节功能， 但肱骨近端髓内钉治疗手术时间较短， 患者术中出血量更少， 且术后骨折愈合较快， 因此对于NeerⅡ型肱骨外科颈骨折的治疗， 建议优先考虑行肱骨近端髓内钉固定术治疗。 　　【关键词】 肱骨近端锁定钢板；肱骨近端髓内钉；NeerⅡ型肱骨外科颈骨折；临床疗效 　　【Abstract】 Objective To research clinical effect by locking proximal humerus plate and intramedullary proximal humerus nail in the treatment of Neer Ⅱ type humerus surgical neck fracture. Methods A total of 68 patients with Neer Ⅱ type humerus surgical neck fracture were divided by random number table into observation group and control group， with 34 cases in each group. The control group received locking proximal humerus plate fixation for treatment， and the observation group received intramedullary proximal humerus nail fixation for treatment. Clinical curative effects were compared between the two groups. Results The observation group had shorter operation time， less intraoperative bleeding volume and shorter fracture healing time than the control group， and the difference had statistical significance （P0.05）. Conclusion Both of locking proximal humerus plate and intramedullary proximal humerus nail shows excellent effect in treating Neer Ⅱ type humerus surgical neck fracture， along with remarkably improved collodiaphysial angle and shoulder joint function， while intramedullary proximal humerus nail in treatment provides shorter operation time， less intraoperative bleeding volume and faster postoperative fracture healing. Therefore， intramedullary proximal humerus nail fixation is recommended as the preferred method in treating Neer Ⅱ type humerus surgical neck fracture. 　　【Key words】 Locking proximal humerus plate； Intramedullary proximal humerus nail； Neer Ⅱ type humerus surgical neck fracture； Clinical effect 　　肱骨外科?i骨折是肱骨近端骨折中最常见的骨折类型