肱骨近端锁定钢板治疗肱骨近端粉碎性骨折的疗效分析  

Analysis on the Efficacy of the Treatment with Locking Proximal Humeral Plate for Proximal Humeral Comminuted Fracture

作　　者：张泽远[1] 罗赛平[2,3] 彭耀金[4] 王淼[5] 

机构地区：[1]新津县人民医院骨科,四川新津611430 [2]新疆兵团农四师医院外三科,新疆伊犁835000 [3]中南大学湘雅医院,湖南长沙410008 [4]湖南师范大学医学院,湖南长沙410013 [5]中南大学基础医学院,湖南长沙410013

出　　处：《现代生物医学进展》2013年第20期3908-3911,共4页Progress in Modern Biomedicine

基　　金：湖南省科技厅科技计划项目(2012SK3249)

摘　　要：目的:观察肱骨近端锁定钢板治疗肱骨近端粉碎性骨折的临床疗效。方法:肱骨近端骨折82例,随机分为两组。治疗组(n=41)用肱骨近端锁定钢板内固定,对照组(n=41)用三叶草钢板内固定。随访6-36个月,平均(18.6±2.3)月,观察治疗后骨折愈合情况、肩关节功能恢复情况,记录骨折愈合时间、患肩活动度。采用Neer评分法评定疗效。观察手术并发症及安全性。结果:治疗组满意率87.81%,对照组满意率70.73%。两组满意率相比较,差异有统计学意义(X2=3.976,P<0.05)。治疗组治疗后外展和外旋活动度与对照组同期相应指标比较;差异有统计学意义(P<0.05)。两组并发症的发生率相比较,差异有显著意义(X2=4.895,P<0.05)。结论:肱骨近端锁定钢板治疗肱骨近端粉碎性骨折疗效肯定,安全性好。Objective： To investigate the clinical curative effect of locking proximal humeral plates on proximal humeral comminuted fracture. Methods： 82 cases with proximal humeral comminuted fractures were randomly divided into two groups. The treatment group （n = 41） was treated with locking proximal humeral locking plate, while the control group （n = 41） was treated with clover leaf plate. Both were followed up for 6 to 36 months, average （18.6＋ 2.3） months, observing fracture healing after treatment and shoulder function recovery, recording the healing time, shoulder mobility. The efficacy were evaluated by Neer standard, and the complications and security were observed as well. Results： After the treatment, satisfaction rate of the treatment group was 87.81% and that of the control group was 70.73%. Comparing the satisfaction rates of two groups, the difference was statistically significant （X2 = 3.976, P 〈 0.05）. Comparing outreach and spin activity of two groups after treatment, difference was statistically significant （P 〈 0.05）. Comparing the incidence of complications of two groups, the difference was also significant （X2 = 4.895, P 〈 0.05）. Conclusion： Locking proximal humeral plate in treating proximal humeral comminuted fracture has good safety and assured curative effects.

关 键 词：肱骨近端粉碎性骨折 肱骨近端锁定接骨板 三叶草钢板 内固定 

分 类 号：R683.41[医药卫生—骨科学]