两种治疗方法对老年肱骨近端粉碎性骨折的疗效比较  

Comparison of Surgical Treatment and Non-surgical Treatment for Elderly Patients with Humeral Surgical Neck Fracture

作　　者：易文辉[1] 

机构地区：[1]湖南省长沙市第四医院骨二科,湖南长沙410006

出　　处：《中外医疗》2013年第19期8-9,共2页China & Foreign Medical Treatment

摘　　要：目的探讨手术和非手术治疗对老年肱骨近端粉碎性骨折的治疗效果。方法 106例老年肱骨近端粉碎性骨折患者根据病情分别进行手术治疗和非手术治疗,两组均全部获得随访,13～48个月的随访,平均18.7月,比较两组患者的临床疗效。结果优良率:手术组87.5%,对照组68%,两组差异有统计学意义(χ2=7.52,P<0.01)。结论手术治疗对老年肱骨近端粉碎性骨折的治疗更显著。Objective To compare the clinical efficacy of surgical treatment and non-surgical treatment of humerus surgical neck fracture for elderly patients. Methods 106 elderly patients who were diagnosed of fracture of surgical neck of humerus were seleted as the research object ,of which 56 patients underwent surgical treatment using locking compression plate（Operation group）,50 patients underwent non--surgical treatment （Control group）. All the patients were followed up for 13 to 48 months ,the clinical effi- cacy were compared. Results Operation group, good rate of87.5%,significandy higher than contra group good rate of 68.0%,the difference was statistically significant（X2=7.52,P〈0.01）. Conclusion Surgical treatment of humeral surgical neck fractures in elderly rehabilitation had better efficacy.

关 键 词：老年人 肱骨近端骨折 粉碎性骨折 

分 类 号：R687.3[医药卫生—骨科学]