顺行自锁髓内钉与锁定加压钢板治疗肱骨干骨折的比较研究  

Comparison Study of antegrade intramedullary nailing and locking compression plates for the treatment of humeral shaft fractures.

作　　者：张震乾[1] 成本强[1] 陈友明[1] 邓海棠[1] 孔志强[1] 龙朝仪[1] 

机构地区：[1]肇庆市第一人民医院,526021

出　　处：《中国实用医药》2013年第10期10-11,共2页China Practical Medicine

摘　　要：目的比较顺行自锁髓内钉与锁定加压钢板治疗肱骨干骨折的临床疗效。方法选择我院2011年5月到2012年9月期间收治的肱骨干骨折患者150例,根据手术方法分为两组:顺行自锁髓内钉组(A组)和锁定加压钢板组(B组)。比较两组患者骨折愈合情况(放射线骨折线消失时间、临床骨骼愈合时间和骨延迟愈合率)、两组患者术后肩关节功能(Neer评分)、两组术后并发症(术后桡神经麻痹、术后感染和患肢肿胀)发生率。结果①顺行自锁髓内钉组患者放射线骨折线消失时间和放射线骨折线消失时间、骨延迟愈合率、术后桡神经麻痹、患肢肿胀发生率均少于或低于锁定加压钢板组(P<0.05)。②两组术后Neer肩关节评分和术后感染发生率无明显差异(P>0.05)。结论顺行自锁髓内钉内固定治疗肱骨干骨折与锁定加压钢板相比具有缩短骨折愈合时间、并发症少等优点,值得临床应用和推广。Objective To compare the clinical efficacy of antegrade intramedullary nailing and locking compression plates for the treatment of humeral shaft fractures. Methods 150 patients of humeral shaft frac- tures from May 2011 and Sep 2011 were classified into two groups： group A （antegrade intramedullary nailing） and group B （ locking compression plates）. Clinical effect evaluation included fracture healing （ fracture line disappeared radiation time, clinical fracture healing and incidence of delayed union）, postoperation shoulded function（ Neer score standard）, postoperation complication（ radial nerve palsy, infection and limb tumefae- tion）. Results （~） The fracture line disappeared radiation time, clinical fracture healing and incidence of de- layed union, postoperation radial nerve palsy and limb tumefaction in group A were less than that in group B. And there were no significant difference of the Neer score for postoperation shoulded function and postoperation infection between the two groups（ P 〉 0.05 ）. Conclusion For Humeral shaft fracture, antegrade intramedul- lary nailing can shorten the fracture healing time and reduce complications compared with locking compression plates, which is worthy of clinical appliacation and promotion.

关 键 词：肱骨干骨折 顺行自锁髓内钉 锁定加压钢板 

分 类 号：R687.3[医药卫生—骨科学]