锁定加压钢板小切口入路治疗老年肱骨近端骨折的的疗效观察.docVIP

锁定加压钢板小切口入路治疗老年肱骨近端骨折的的疗效观察 　　[摘要] 目的 探讨锁定加压钢板小切口入路治疗老年肱骨近端骨折的临床效果。 方法 选取我院于2016年1月～2017年3月收治的老年肱骨近端骨折患者116例，对照组患者采用常规入路切口普通钢板治疗方法，实验组患者采用小切口入路锁定加压钢板治疗方法。记录并比较两组患者的临床指标。 结果 实验组患者的总治疗有效率为96.55%，显著高于对照组（P0.05）。实验组患者的手术时间、出血量显著低于对照组（P0.05）。实验组患者的住院时间及骨折愈合时间显著短于对照组（P0.05）。 结论 锁定加压钢板小切口入路治疗老年肱骨近端骨折的临床效果及预后较好，能够显著减少患者的治疗时间，降低手术失血量，具有临床推广应用价值。 　　[关键词] 锁定加压钢板小切口入路；老年肱骨近端骨折；骨折愈合 　　[中图分类号] R687.3 [文献标识码] A [文章编号] 2095-0616（2017）14-194-03 　　Clinical observation of locking compression plate in the treatment of proximal humeral fractures in elderly patients 　　YU Junxi WU Shaojian LI Wenting CHEN Jinbo CHENG Liuqing 　　Surgery， Liwan District Peoples Hospital， Guangdong， Guangzhou 510317， China 　　[Abstract] Objective To investigate the clinical effect of locking incision plate with small incision in the treatment of proximal humerus fractures in the elderly. Methods 116 patients with proximal humerus fractures cured in our hospital from January 2016 to March 2017 were selected. Patients in the control group were treated with conventional incision plain steel plate. Patients in the experimental group were treated with small incision treatment method. The clinical parameters of the two groups were recorded and compared. Results The total effective rate in the experimental group was 96.55%， which was significantly higher than that in the control group （P0.05）. The operation time and blood loss of the experimental group were significantly lower than those of the control group （P0.05）. The time of hospitalization and the healing time of the patients in the experimental group were significantly shorter than those in the control group （P0.05）. Conclusion The clinical effect and prognosis of the proximal humerus fractures in the treatment of the proximal humerus fractures is good. It can significantly reduce the treatment time， and reduce the blood loss of the patients. It has the clinical value of clinical application. 　　[Key words] Locking compression plate small incision appro