微创经皮钢板接骨术与切开复位内固定术治疗肱骨近端骨折的疗效比较  

作　　者：连霄[1] 曾云记[1] 

机构地区：[1]杭州师范大学附属医院,310015

出　　处：《浙江临床医学》2016年第12期2237-2239,共3页Zhejiang Clinical Medical Journal

摘　　要：目的观察比较微创内固定术与传统内固定术治疗肱骨近端骨折的临床疗效。方法肱骨近端骨折患者82例，随机分微创锁定钢板内固定术组及切开复位内固定术组，每组各41例，分别予微创锁定钢板内固定术和切开复位结合肱骨近端锁定钢板治疗。比较两组伤口长度、术中出血量及时间、骨折愈合及功能恢复情况、术后并发症和术后疼痛评分情况。结果所有患者获得7-24个月（平均14．2个月）随访。微创锁定钢板内固定术组与切开复位内固定术组的手术时间分别为（79．2±11．7）min、（118．5±13．6）min；术中出血量（98．2±12．1）ml、（293．2±37．9）ml；骨折愈合时间（12．1±1．3）周、（12．3±1．2）周。切口平均长度（5．5±0．8）cm、（14．2±0．9）cm：手术时间（79．2±11．7）min、（118．5±13．6）min；两组比较差异有统计学意义（P〈0．01）。微创锁定钢板内固定术组术后并发症发生率、术后功能恢复优良率分别为12．2％、80．5％，显著优于切开复位内固定术组的34．1％、63．4％，差异有统计学意义（P〈0．01和P〈0．05）。结论微创锁定钢板治疗肱骨近端骨折操作简单，出血量少，骨折内固定可靠，愈合时间短，术后并发症少，术后功能恢复好，临床疗效明显优于传统切开复位内固定。值得临床推广应用。Objective to compare the minimally invasive locking plate fixation and open reduction and internal fixation to treat the clinical curative effect of proximal humeral fractures. Methods 82 cases of patients with proximal humeral fractures, were randomly divided into two groups, namely the minimally invasive locking plate fixation and open reduction and internal fixation group, each group of 41 cases, respectively, to the minimally invasive locking plate fixation and open reduction treatment combined with locking proximal humeral plate. Compare two groups of cases operation time, intraoperative blood loss, length of incision, fracture healing, functional recovery, complications, and postoperative pain score. Results All patients obtained 7 to 24 months （ mean 14.2 months ） follow-up. Minimally invasive locking plate fixation and open reduction and internal fixation group of surgery （79.2 ± 11.7 ） min, respectively （118.5 ± 13.6 ） min. Intraoperative blood loss, respectively （98.2 ± 12.1 ） for ml, ml （ 293.2 ± 37.9 ） ; Fracture healing time, on average, respectively （ 12.1 ± 1.3 ） , （ 12.3 ± 1.2 ） weeks. Average length of incision, respectively （5.5±0.8） cm, （14.2±0.9） cm; Operation time average （79.2±11.7） min, respectively （118.5± 13.6） min. Minimally invasive locking plate fixation group were significantly better than the open reduction and internal fixation group, the difference was statistically significant （ P〈0.01 ） . Minimally invasive locking plate fixation group the incidence of postoperative complications, postoperative function recovery is respectively, 80.5, 12.2%, significantly better than that of open reduction and internal fixation group were 34.1%, 63.4%, the difference was statistically significant （ P〈0.01 and P〈 0.05 ） . Conclusion Minimally invasive locking plate in the treatment of proximal humeral fractures, simple operation, less blood loss, fracture fixation is reliable, shorter healing time, less postoperative complicati

关 键 词：肱骨近端骨折 微创锁定钢板内固定术 切开复位内固定术 

分 类 号：R683.42[医药卫生—骨科学]