锁定加压钢板联合打压植骨治疗肱骨近端骨折效果研究.docVIP

锁定加压钢板联合打压植骨治疗肱骨近端骨折效果研究 　　【摘 要】目的：研究锁定加压钢板和打压植骨联合治疗肱骨近端骨折的临床效果。方法：以我院2015年6月～2017年6月收治的54例肱骨近端骨折患者为研究对象，经患者同意采用抽签的方式随机分为对照组和研究组，各27例，对照组给予常规钢板内固定治疗，研究组给予锁定加压钢板联合打压植骨治疗，比较两组患者相关临床指标和治疗优良率。结果：研究组患者的手术时间、住院时间均显著短于对照组，术中失血量显著少于对照组，差异有统计学意义（P0.05）；研究组患者的治疗优良率为92.59%，显著高于对照组的70.37%，差异有统计学意义（P0.05）。结论：采用锁定加压钢板联合打压植骨治疗肱骨近端骨折，操作创伤小，患者术后恢复更快，临床治疗效果更优，是安全有效的治疗方案，值得推广。 　　【关键词】锁定加压钢板；打压植骨；肱骨近端骨折；优良率 　　Abstract Objective： To study the clinical effect of locking compression plate and bone grafting in the treatment of proximal humerus fractures.Methods： Fifty-four patients with proximal humeral fractures admitted from June 2015 to June 2017 in our hospital were randomly divided into control group and study group with the consent of patients by random sampling， 27 cases in each group.The control group was given conventional plate Internal fixation treatment， the study group was treated with locking compression plate combined with bone graft treatment， the clinical indicators and the treatment of good rate of two groups were compared.Results： The operation time and hospital stay of the study group were significantly shorter than those of the control group， and the blood loss during operation was significantly less than that of the control group （P 0.05）.The excellent rate of the study group was 92.59% which is higher than that of the control group （70.37%）， the difference was statistically significant （P 0.05）.Conclusions： Applied the locking compression plate combined with bone graft to the treatment of proximal humerus fractures， surgical operation resulting in less trauma， postoperative patients can recover faster， with better clinical treatment， which is safe and effective treatment programs， it is worth promoting. 　　【中?D分类号】R236.1 【文献标识码】A 【文章编号】1672-3783（2018）02-03-0-01 　　肱骨近端骨折为骨科常见骨折类型，多为间接暴力伤害所致，患者以中老年人群为主，且合并骨质疏松者较多，因此很多患者为粉碎性骨折，病情相对复杂，临床治疗难度大。临床治疗肱骨近端骨折的首要目标就是有效复位，恢复患者肩部功能，因而通过有效固定保证骨折端的稳定性和血运状况，对治疗效果有很大影响[1]。锁定加压钢板的出现和使用，为肱骨近端骨折临床治疗提供了更为理想的固定方案，而联合打压植骨，治疗效果更为突出[2]。