肱骨近端粉碎性骨折应用人工半肩关节置换的临床疗效与预后情况分析  

Clinical efficacy and prognosis of artificial half shoulder replacement for proximal humerus fractures

作　　者：周政[1] 沈奕[1] 彭丹[1] 陈夏[1] 

机构地区：[1]中南大学湘雅二医院,长沙410000

出　　处：《国际医药卫生导报》2014年第12期1719-1722,共4页International Medicine and Health Guidance News

摘　　要：目的探讨人工半肩关节置换术在肱骨近端粉碎性骨折患者中的临床应用意义。方法选择我院2008年3月至2010年3月期间所收治的肱骨近端粉碎性骨折患者41例，随机将患者分为对照组20例和研究组21例。对照组患者给予内固定钢板治疗，研究组患者给予人工半肩关节置换术治疗，分别对两组患者临床疗效、手术时间、术后出血量、并发症发生等预后情况进行比较分析。结果与对照组患者相比，采用人工半肩关节置换的研究组患者Neer肩关节评分中疼痛、功能使用情况、运动范围以及总分均明显提高，临床疗效优良率明显提高，可达90．48％，手术时间明显缩短，术后出血量及术后6个月并发症发生率明显降低，差异具有统计学意义（P〈0．05）。讨论人工半肩关节置换术能够提高肱骨近端粉碎性骨折患者的临床治疗效果及预后情况，适于临床治疗中的推广应用。Objective To explore the clinical value of artificial half shoulder replacement for proximal humerus fractures. Methods 41 patients with proximal humerus fractures were selected from our hospital from March, 2008 to March, 2010 and were randomly divided into a control group （n=21） and a study group （n=20）.The control group were treated with fixed plate, and the study group with artificial half shoulder replacement. The clinical efficacies, operative times, postoperative bleeding volumes, and complications in both groups were compared and analyzed. Results Comparing with the control group, the study group were better in the Neer shoulder pain scores, functional usage, range of motion, and total scores and had markedly higher excellent clinical efficacy （90.48%）, obviously shorter operative time, smaller postoperative bleeding volume, and lower complication incidence 6 months after the operation, with statistical differences （P 〈 0.05）. Conclusions Artificial half shoulder replacement can increase the clinical efficacy and improve the prognosis of patients with proximal humerus fractures. It is suitable for clinical treatment application.

关 键 词：人工半肩关节置换术 肱骨近端粉碎性骨折 疗效 预后 

分 类 号：R687.3[医药卫生—骨科学]