人工肱骨头置换治疗老年肱骨近端复杂性骨折的疗效观察  

作　　者：熊志云[1] 

机构地区：[1]常德市第一人民医院

出　　处：《当代医学》2013年第22期72-73,共2页Contemporary Medicine

摘　　要：目的探讨老年肱骨近端复杂性骨折患者采用人工肱骨头置换的疗效。方法选择2010年1月-2012年4月常德市第一人民医院收治的老年肱骨近端复杂性骨折患者66例为研究对象,使用计算机随机方法分为两组。对照组使用肱骨近端锁定钢板治疗,实验组给予人工肱骨头置换治疗,对比观察两组患者的治疗效果。结果实验组手术时间短,手术中出血量少,与对照组比较,差异有统计学意义(P<0.05);实验组患者治疗后,其ASES评分优于对照组患者,差异有统计学意义(P<0.05);实验组患者视觉模糊评分低于对照组患者(P<0.05);实验组CMS肌力评分优于对照组患者,关节活动能力评分优于对照组,差异有统计学意义(P<0.05)。结论对老年肱骨近端复杂性骨折患者给予人工肱骨头置换治疗的效果较好,有助于减少创伤并提高治疗效果,是一种较好的方法。Objective To investigate the study of elderly proximal humerus complex fractures were treated with the efficacy of the humeral head replacement,and better treatment of elderly proximal humerus fractures.Methods From January 2010 to April 2012 aged humerus of the hospital proximal complex fracture of 66 patients with clinical research object,using the computer randomly divided into two groups,the control group of patients using the locking proximal humerus plate for treatment of the experimental group were treated with humeral head replacement therapy,the therapeutic effect of the contrast observed in patients.Results The surgery time is short,the hand less blood loss compared with the control group（P0.05）,the difference was statistically significant;experimental group after treatment,the ASES score better than the control group patient（sP 0.05）;experimental group blurred vision in patients score lower than that of the control group patient（sP0.05）;CMS muscle strength score of the experimental group than the control group patients,the joint activity score than the control grou（pP0.05）,the difference was statistically significant.Conclusion The humeral head replacement for the treatment of senile complex proximal humeral fractures in patients given effect is better,and helps to reduce trauma and improve the therapeutic effect,is a better way.

关 键 词：肱骨近端骨折 人工肱骨头置换 老年 

分 类 号：R687.3[医药卫生—骨科学]