老年肱骨外科颈骨折钢板固定疗效剖析.docVIP

老年肱骨外科颈骨折钢板固定疗效剖析 　　【摘要】 目的：分析钢板固定治疗肱骨外科颈骨折老年患者的临床效果。方法：选取2011年7月-2012年3月笔者所在医院骨科收治的肱骨外科颈骨折患者72例，随机分为观察组及对照组，观察组给予肱骨近端锁定钢板治疗，对照组给予“T”型钢板固定治疗，观察治疗效果。结果：观察组手术时间、术中出血量及骨折愈合时间分别为（102.7±23.2）min、（112.3±25.4）ml及（13.3±5.4）周；对照组手术时间、术中出血量及骨折愈合时间分别为（126.5±21.3）min、（129.7±26.1）ml及（15.3±5.7）周，观察组优于对照组，差异有统计学意义（P0.05）。观察组总有效率100%；对照组总有效率88.9%，观察组总有效率高于对照组，差异有统计学意义（P0.05）。结论：采用肱骨近端锁定钢板及“T”型钢板固定均可有效治疗肱骨外科颈骨折，但采用肱骨近端锁定钢板治疗临床效果更优。 　　【关键词】 肱骨外科颈骨折； 肱骨近端锁定钢板； “T”型钢板 　　中图分类号 R683.41 文献标识码 B 文章编号 1674-6805（2015）3-0011-02 　　Clinical Effective Analysis of Plate Fixation Treatment for Elderly Patients with Humeral Surgical Neck Fractures/GAO Xi，HUANG Zhu-song，GUAN Yong，et al.//Chinese and Foreign Medical Research，2015，13（3）：11-12 　　【Abstract】 Objective：To analyze the clinical effective of plate fixation treatment for elderly patients with humeral surgical neck fractures.Method：72 patients with humeral surgical neck fractures were selected and divided into treatment group and control group，which were treated with proximal humeral locking plate fixation treatment and “T” type plate fixation treatment.Clinical effective was observed.Result：The operation time，blood loss in operation and fracture healing time of treatment group were significantly lower than these of control group（P0.05）.The treatment total efficiency rate of treatment group was 100%，which was significantly higher than 88.9% of control group（P0.05）.Conclusion：Proximal humeral locking plate fixation treatment and “T” type plate fixation treatment are effective for humeral surgical neck fractures，proximal humeral locking plate fixation treatment is more effective than “T” type plate fixation treatment. 　　【Key words】 Humeral surgical neck fractures； Proximal humeral locking plate fixation； “T” type plate fixation 　　First-author’s address：Fuzhou Second Hospital，Fuzhou 350007，China 　　doi：10.14033/j.cnki.cfmr.2015.03.006 　　肱骨外科颈骨折为骨科常见骨折，它属于肱骨近端骨折一种，多见于老年人，约占全身骨折5%左右[1]。肱骨外科颈在肱骨解剖颈下2～3 cm，是松、密质骨交界处，也是解剖上脆弱位点，因此该处容易发生骨折[2-3]