锁定钢板在老年肱骨近端骨折患者中的应用体会  

Application of locking plate in elderly patients with proximal humeral fractures

作　　者：王煜[1] 方波[1] 

机构地区：[1]大连市第二人民医院骨科,116011

出　　处：《中国医师进修杂志》2017年第7期612-614,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 探讨锁定钢板在老年肱骨近端骨折患者中的治疗效果。方法 选取采用手术治疗的老年肱骨近端骨折患者70例，其中应用锁定钢板治疗35例（锁定钢板组），普通钢板治疗35例（普通钢板组）。比较两组手术时间、术中出血量、骨折愈合时间及疗效。结果 锁定钢板组手术时间、术中出血量和骨折愈合时间均明显小于普通钢板组[（61.3 ± 5.6）min比（78.3 ± 4.2）min、（190.5 ± 11.5）ml比（268.5 ± 21.2）ml和（12.6 ± 1.8）周比（16.5 ± 1.5）周]，优良率明显高于普通钢板组[94.29%（33/35）比74.98%（26/35）]，差异有统计学意义（P〈0.05）。结论 锁定钢板治疗老年人肱骨近端骨折的临床疗效确切，固定较牢固，利于患者术后及早恢复。Objective To explore the clinical curative effect of locking plate in elderly patients with proximal humeral fractures.Methods Seventy elderly patients with proximal humeral fractures were selected, and all patients were treated with surgical treatment. Among them, application of locking plate was in 35 cases （locking plate group）, and application of ordinary steel plate was in 35 cases （ordinary steel plate group）. The operation time, intraoperative blood loss, fracture healing time and curative effect between 2 groups were compared.Results The operation time, intraoperative blood loss and fracture healing time in locking plate group were significantly lower than those in ordinary steel plate group： （61.3 ± 5.6） min vs. （78.3 ± 4.2） min, （190.5 ± 11.5） ml vs. （268.5 ± 21.2） ml and （12.6 ± 1.8） weeks vs. （16.5 ± 1.5） weeks, the excellent and good rate was significantly higher than that in ordinary steel plate group： 94.29% （33/35） vs. 74.98% （26/35）, and there were statistical differences （P〈0.05）.Conclusions The curative effect of locking plate in elderly patients with proximal humeral fractures is accurate. Locking plate can be fixed firmly, and it is conducive to early recovery after surgery.

关 键 词：肱骨骨折 老年人 锁定钢板 

分 类 号：R687.3[医药卫生—骨科学]