两种钢板内固定治疗肱骨中下段骨折临床分析  

Clinical analysis of two plate internal fixation in the treatment of fractures of middle-inferior humerus

作　　者：徐火荣 徐文强 涂少龙 

机构地区：[1]广东省惠东县人民医院骨科,516300

出　　处：《中国实用医药》2014年第19期18-19,共2页China Practical Medicine

基　　金：惠州市科学技术局项目(项目编号:2012y205)

摘　　要：目的探究两种钢板内固定方法治疗肱骨中下段骨折的临床效果分析。方法肱骨中下段骨折60例患者,随机分为前内侧钢板组(A组)和前外侧钢板组(B组)。每组30例患者。对两组患者进行随访跟踪调查。结果两组患者的手术时间、愈合时间、肘关节评分差异均无统计学意义(P>0.05)。前外侧钢板组(B组)的患者桡神经功能异常的并发症明显高于前内侧钢板组(A组),差异有统计学意义(P<0.05)。结论肱骨中下段骨折的患者应用前内侧钢板固定的方法可以有效预防桡神经损伤等后遗症的发生。Objective To explore clinical effect of two plate internal fixation methods in the treatment of fractures of middle-inferior humerus.Methods Divided 60 patients with fractures of middle-inferior humerus into medial plate group（group A） and anterolateral plate group（group B）, 30 patients in each group. Two groups of patients were observed for follow up survey.Results The two groups’ operative time, healing time and elbow score were not significantly different. Radial nerve dysfunction complications of anterolateral plate group（group B） was significantly higher than medial plate group（group A）,P〈0.05, differences were statistically significant. Conclusion Application medial plate fixation methods for patients with fractures of middle-inferior hummers can be effective in preventing radial nerve damage and other complications occurred.

关 键 词：肱骨中下段骨折 前内侧 前外侧 桡神经损伤 

分 类 号：R687.3[医药卫生—骨科学]