| 龚毅 郭明 宋红平 赵骏飞 丁文星 易敏.肱骨近端锁定接骨板结合抗骨质疏松药物治疗老年骨质疏松性肱骨近端粉碎性骨折的疗效观察[J].,2015,15(26):5132-5134 |
| 肱骨近端锁定接骨板结合抗骨质疏松药物治疗老年骨质疏松性肱骨近端粉碎性骨折的疗效观察 |
| Effect of Locking Proximal Humeral Plate Combined with Anti OsteoporosisDrugs in the Treatment of Elderly Osteoporotic-Comminuted Fractures of theProximal Humerus |
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| DOI： |
| 中文关键词: 并发症 骨质疏松 肩关节 LPHP 肱骨近端粉碎性骨折 |
| 英文关键词: Complications Osteoporosis Shoulder joint LPHP Comminuted fractures of the proximal humerus |
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| 中文摘要: |
| 目的：探讨肱骨近端锁定接骨板（LPHP）结合抗骨质疏松药物治疗老年骨质疏松性肱骨近端粉碎性骨折（OP-CFPH）的疗效
价值。方法：抽选我院2012 年1 月-2014 年2 月收治的45 例老年OP-CFPH患者，采用随机分层法分为对照组（n=22 例，采用三
叶形普通钢板治疗）和观察组（n=23 例，采用LPHP+ 入院后抗骨质疏松治疗），比较两组手术参数、术后肩关节Neer 评分及并发
症发生率的差异。结果：观察组手术时间、术中出血量、术后引流量及术后骨折愈合时间均显著低于对照组的，组间差异具有统计
学意义（P<0.05）；观察组术后肩关节Neer评分优良率明显高于对照组（P<0.05）；术后观察组并发症发生率低于对照组，但比较差
异无统计学意义（P＞0.05）。结论：LPHP 联合抗骨质疏松治疗老年OP-PHF 具有创伤小、疗效好的优点，有利于骨折愈合，是目前
治疗该类骨折一种理想的方法。 |
| 英文摘要: |
| Objective:To study the effect of locking proximal humeral plate (LPHP) combined with anti osteoporosis drugs in the
treatment of elderly osteoporotic-comminuted fractures of the proximal humerus (OP-CFPH).Methods:Selected 45 elderly patients with
OP-CFPH in our hospital fromJanuary 2012 to February 2014, who were divided into the control group (n=22, treated with three-leaf ordinary
steel plate) and the observation group (n=23, treated with LPHP combined with anti osteoporosis drugs) by stratified randomization
method, then compared the operation indexes, postoperative Neer score and the incidence of complications in two groups.Results:Operation time, intraoperative bleeding volume, postoperative drainage volume, and postoperative fracture healing time in observation
group were significantly lower than control group(P<0.05); the excellent and good rate of Neer score in observation group after operation
was significantly higher than control group (P<0.05); the incidence of complications in observation group after operation was lower than
the control group, but there was no significant difference(P>0.05).Conclusion:LPHP combined with anti osteoporosis in treatment of elderly
OP-PHF has the advantages of less trauma, better effect, good for the fracture healing, which is an ideal therapy for such fracture. |
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