| 王海洋 葛武 吴胜祥 毕正宾 李环如 陈德 刘泉 王智.锁定钢板与半肩关节置换治疗老年肱骨近端骨折疗效比较[J].,2015,15(30):5925-5928 |
| 锁定钢板与半肩关节置换治疗老年肱骨近端骨折疗效比较 |
| Therapeutic Effect of Locking Plate and Semi Shoulder Joint Replacement forProximal Humeral Fracture in Senile |
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| DOI： |
| 中文关键词: 锁定钢板 半肩关节置换 肱骨近端骨折 疗效 |
| 英文关键词: Locking plate Semi-shoulder arthroplasty Proximal humerus fractures Clinical effect |
| 基金项目:安徽省自然科学基金项目(1408085MH207) |
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| 中文摘要: |
| 目的：比较锁定钢板（Locking plate，LP）与半肩关节置换（semi-shoulder arthroplasty，SSA）治疗老年肱骨近端Neer Ⅲ、Ⅳ型骨
折临床疗效。方法：对我院骨科2009 年5 月至2013 年5月收治的61 例老年肱骨近端Neer Ⅲ、Ⅳ型骨折的患者资料进行回顾性
分析，男性18 例，女性43 例，年龄60~84 岁，平均69.3 岁。其中采用LP 治疗者40 例，采用SSA 治疗者21例，观察两组患者的手
术时间、失血量、Neer 评分情况，记录手术并发症情况，并进行统计学比较。结果：所有患者均获得随访，平均随访时间14.5 个月
（12~20 个月）。LP 组手术时间（105.6± 20.4 min vs 80.6± 18.2 min，t= 2.650，P= 0.01）多于SSA 组，两组在手术出血量（188.5±
25.2 ml vs 200.5± 31.6 mL，t=1.666，P= 0.1）、Neer 评分优良率（92.5%vs 90.5 %，X2=0.075，P=0.784）和并发症发生率（4.8%vs
12.5 %，X2=1.351，P=0.245）无明显差异。结论：在老年肱骨近端Neer Ⅲ、Ⅳ型骨折的治疗上，SSA手术时间短，但手术并发症发生
率以及疗效优良率与LP相似，临床应根据病情及需要灵活选择手术方式。 |
| 英文摘要: |
| Objective:To compare the clinical effect of locking c plates (LP) and semi-shoulder arthroplasty (SSA) for proximal
humerus fractures Neer type Ⅲ and Ⅳ in eldly.Methods:From May 2009 to May 2013, 61 patients (18 males and 43 females) with
proximal humerus fractures Neer type Ⅲ and Ⅳ who aged 60 to 84 years (mean, 69.3 years) were treated with LP including 40 cases and
with SSA including 21 cases. The indexes including operation time, blood loss, and Neer score were statistically compared and
complications were recorded.Results:All patients were followed up with an average of 14.5 months (12~20 months). The operation time
in SSA group (80.6± 18.2 min) were significantly less than that of LP group (105.6± 20.4) min with statistical significance (t= 2.650, P=
0.01). Blood loss (188.5± 25.2 mL vs 200.5± 31.6 mL, t=1.666, P= 0.1), Neer score excellent-and-good rate (92.5 %vs 90.5 %, X2=0.
075, P=0.784) and the incidence of complications (4.8 %vs 12.5 %, X2=1.351, P=0.245)showed no significant differences between two
groups.Conclusion:For the proximal humerus fractures of Neer type Ⅲ and Ⅳ in eldly, SSA has the advantage of shorter operation
time and but the recurrence of complications and curative effect is similar to LP. |
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