| 党熙亮,李浩鹏,张 建,李玉民,武东升.微创锁定接骨板与传统切开复位内固定术治疗肱骨近端骨折的临床疗效比较[J].,2017,17(27):5369-5372 |
| 微创锁定接骨板与传统切开复位内固定术治疗肱骨近端骨折的临床疗效比较 |
| Comparison of the Clinical Efficacy of Minimally Invasive Locking Plate and Traditional Open Reduction with Internal Fixation in the Treatment of Proximal Humerus Fractures |
| 投稿时间：2017-03-03 修订日期：2017-03-17 |
| DOI：10.13241/j.cnki.pmb.2017.27.043 |
| 中文关键词: 微创锁定接骨板 切开复位内固定 肱骨近端骨折 临床疗效 |
| 英文关键词: Minimally invasive locking plate Traditional open reduction with internal fixation Proximal humerus fractures Clinical efficacy |
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| 中文摘要: |
| 摘要 目的：探讨微创锁定接骨板与传统切开复位内固定术治疗肱骨近端骨折的临床疗效。方法：选取89例肱骨近端骨折患者，根据手术方法不同分为两组，观察组(45例)给予微创锁定接骨板治疗，对照组(44例)给予传统切开复位内固定治疗，比较两组手术时间、住院时间、骨折愈合时间、术中出血量、术后1个月Neer和Constant-Murley评分。结果：观察组患者手术时间、住院时间、骨折愈合时间均明显短于对照组，术中出血量少于对照组(P<0.05)。术后1个月，观察组Constant-Murley各项评分及总分均显著优于对照组(P<0.05)；按Neer评分，观察组优良率为91.1%，明显高于对照组(68.1%，P<0.05)。结论：与传统切开复位内固定术相比，微创锁定接骨板能更好，安全性更高，可更快更有效地促进肱骨近端骨折患者肩关节功能的恢复。 |
| 英文摘要: |
| ABSTRACT Objective: To discuss the clinical efficacy of minimally invasive locking plate and the traditional open reduction with internal fixation in the treatment of proximal humerus fractures. Methods: 89 cases of patients with proximal humeral fractures were se- lected and divided into two groups according to different surgical methods. The observation group (45 cases) was given minimally inva- sive locking plate, while the control group (44 cases) was treated with the traditional open reduction and internal fixation. The operation time, hospitalization time, fracture healing time, intraoperative blood loss, Neer score and Constant-Murley score at 1 month after postop- eratiion were compared between two groups. Results: The operation time, hospitalization, fracture healing time of observation group were significantly shorter than those of the control group, and the bleeding amount of observation group was less than that of the control group (P<0.05). At 1 months after operation, the Constant-Murley scores of observation group were significantly better than those of the control group (P<0.05). The For Neer scores, excellent rate of observation group (91.1%) were significantly higher than those of the con- trol group(68.1%, P<0.05). Conclusion: Compared with the traditional open reduction with internal fixation, minimally invasive locking plate was better, safer, faster and more effectively for promoting the recovery of shoulder function of patient with proximal humerus frac- tures. |
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