| 银毅 孙官军 王志强 彭旭 徐佳莉 王卫国.肱骨近端锁定加压钢板与解剖钢板治疗老年肱骨外科颈骨折的临床疗效[J].,2016,16(10):1905-1907 |
| 肱骨近端锁定加压钢板与解剖钢板治疗老年肱骨外科颈骨折的临床疗效 |
| Clinical Efficacy of Proximal Humerus Locking Compression Plateand Anatomical Plate for Elderly Patients with Fracture of Surgical Neck of Humerus |
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| DOI： |
| 中文关键词: 肱骨近端 锁定加压钢板 解剖钢板 肱骨外科颈骨折 |
| 英文关键词: Proximal humerus Locking compression plate Anatomical plate Fracture of surgical neck of humerus |
| 基金项目:四川省教育厅基金项目（12ZB223） |
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| 中文摘要: |
| 目的：研究肱骨近端锁定加压钢板与解剖钢板治疗老年肱骨外科颈骨折的临床疗效。方法：选取92 例老年肱骨外科颈骨折
患者作为研究对象。根据数字法随机将患者分成观察组及对照组，各含46 例。其中对照组予以解剖钢板术式治疗，观察组则予以
肱骨近端的锁定加压钢板术式治疗。对比两组不同治法的疗效，两组患者的手术相关指标，两组患者治疗后的肩关节活动度以及
两组患者治疗前后的Constant 评分及VAS 评分。结果：观察组的优良率是89.13%（41/46），显著高于对照组的76.09%（35/46），差
异有统计学意义（P＜0.05）。观察组的术程、手术出血量以及住院时间和骨折的愈合时间均分别显著少于对照组，差异均有统计学
意义（均P＜0.05）。观察组的肩关节活动度显著大于对照组，差均有统计学意义（P＜0.05）。治疗后观察组的Constant评分及VAS
评分均分别显著高于对照组，差异均有统计学意义（均P＜0.05）。结论：利用肱骨近端的锁定加压钢板术式治疗FSNH，能够帮助
患者获得更为积极的临床预后，值得在临床治疗过程中推广应用。 |
| 英文摘要: |
| Objective:To study the clinical efficacy of proximal humerus locking compression plate and anatomical plate in the
treatment of elderly patients with fracture of surgical neck of humerus.Methods:The study was performed in 92 patients with FSNH who
accepted the treatment in our hospital. According to the digital method, they were randomly divided into observation group and control
group with 46 cases each group. The control group was given anatomic plate surgical treatment, while the observation group was treated
with proximal humerus locking compression plate surgical treatment. The treatment effects, operation related indexes, activity of shoulder
joint after treatment, Constant and VAS score before and after treatment were observed and compared between the two groups.Results:The excellent and good rate of the observation group was 89.13%(41/46), significantly higher than that in control group 76.09%(35/46),
and the difference was statistically significant (P<0.05). The operation course, amount of bleeding, hospitalization time and fracture
healing time of observation group all were significantly less than those of the control group, with statistically significant difference (P<0.
05). In observation group, the shoulder joint activity was greater than in the control group, and the difference was statistically significant
(P<0.05). After the treatment, the Constant score and VAS score of the observation group were significantly higher than those of the
control group, and the difference was also statistically significant (P<0.05).Conclusion:Locking compression plate in surgical treatment
of FSNH can help patients get more actively clinical prognosis. It is worthy to popularize in the clinical course of treatment. |
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