不同的内固定材料治疗老年肱骨近端骨折的临床疗效观察  

Clinical efficacies of different internal fixation materials in the treatment of senile proximal humerus fractures

作　　者：刘俊川[1] 邸军[1] 赵昌平[1] 姚双权[1] 朱炼[1] 王博[1] 任栋[1] 

机构地区：[1]河北医科大学第三医院骨科,石家庄050051

出　　处：《中华医学杂志》2014年第47期3758-3760,共3页National Medical Journal of China

摘　　要：目的：观察不同的内固定材料治疗老年肱骨近端骨折的临床效果。方法对2009年10月至2012年2月河北医科大学第三医院创伤骨科收治的年龄＞60岁的肱骨近端骨折患者284例，将其按随机数字法分为2组，每组各142例，分别应用肱骨近端锁定接骨板（ LPHP）和肱骨近端内固定锁定钢板系统（ PHILOS）为内固定材料进行治疗，比较两组患者的治疗效果。结果 PHILOS组患者骨折愈合时间为（11．64±3．81）周，明显短于LPHP组（14．95±3．95）周（t＝3．164，P＝0．033）；术后3个月，LPHP组肱骨近端四部分骨折患者疼痛发生率72．41％，高于PHILOS组的64．81％（ P＜0．05）；术后2年两组患者Neer肩关节功能评分差异无统计学意义（P＞0．05）。结论 PHILOS和LPHP在治疗老年肱骨近端骨折上均具有良好的临床效果，但PHILOS更有利于骨折的愈合。Objective To explore the clinical efficacies of different internal fixation materials in the treatment of senile proximal humerus fractures.Methods A total of 284 hospitalized patients of proximal humerus fractures over 60 years of age cases from October 2009 to February 2012 were randomly divided into two groups of locking proximal humeral plate （ LPHP ） and PHILOS （ n =142 each ） .And the clinical efficacies of two groups were compared.Results For PHILOS and LPHP groups, the fracture healing periods were（11.64 ±3.81）and（14.95 ±3.95）weeks.And there was statistical significance （P〈0.05）. At 3 months post-surgery, the incidence of pain was 72.41% and 64.81%.And there was statistical significance （P〈0.05）.At 2 years,Neer shoulder function score had inter-group statistically insignificant difference （ P〉0.05 ） .Conclusion Both PHILOS and LPHP are effective in the treatment of senile proximal humeral fractures.However,the former is conducive to fracture healing and has shorter healing time and lowered postoperative pain.

关 键 词：肱骨骨折 肩骨折 内固定器 治疗结果 

分 类 号：R687.3[医药卫生—骨科学]