可吸收螺钉与肱骨近端解剖型钢板内固定治疗肱骨大结节撕脱性骨折的临床对比研究  

Clinical Comparative Study of Absorbable Screw and Proximal Humerus Anatomical Plate Internal Fixation in Treatment of Avulsion Fracture of Greater Tuberosity of Humerus

作　　者：梁善校[1] 

机构地区：[1]百色市人民医院,广西百色533000

出　　处：《中外医学研究》2018年第1期25-26,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:比较可吸收螺钉和肱骨近端解剖型钢板内固定治疗肱骨大结节撕脱性骨折的临床效果、安全性及患者的预后。方法:选取105例肱骨大结节撕脱性骨折患者,随机分为A组(55例,采用可吸收螺钉)和B组(50例,采用肱骨近端解剖型钢板),分析比较两组患者的治疗效果。结果:两组手术时间比较差异无统计学意义(P>0.05);A组出血量为(206.3±44.5)ml,少于B组的(378.6±54.2)ml;A组住院时间为(10.2±2.2)d,短于B组的(17.5±3.6)d;A组骨折愈合时间为(36.5±6.5)d,短于B组的(48.5±7.6)d;A组Constant评分为(90.9±6.6)分,高于B组的(75.9±5.8)分;A组ASES评分为(89.2±3.7)分,高于B组的(70.0±2.2)分;A组并发症发生率为3.8%,低于B组的16.0%。A组各指标均优于B组,差异均有统计学意义(P<0.05)。结论:可吸收螺钉治疗有效,安全性高,术中出血量少,术后并发症发生率低,患者住院时间、骨折愈合时间均较短,可作为肱骨大结节撕脱性骨折的有效手术方案。Objective：To compare the clinical efficacy,safety and the prognosis of patients of absorbable screw and proximal humerus anatomical plate internal fixation in treatment of avulsion fracture of greater tuberosity of humerus.Method：A total of 105 patients with avulsion fracture of greater tuberosity of humerus were randomly into group A（n=55,treated with absorbable screw） and group B（n=50,treated with proximal humerus anatomical plate internal fixation）.The clinical efficacy,safety and the prognosis of patients were compared between the two groups.Result：There was no statistically significant difference of the operation time between two groups（P〈0.05）.The amount of bleeding in group A was（206.3±44.5）ml,less than（378.6±54.2）ml of group B,the hospitalization time of group A was（10.2±2.2）d,shorter than（17.5±3.6）d of group B,the fracture healing time of group A was（36.5±6.5）d,shorter than（48.5±7.6）d of group B,the constant score of group A was（90.9±6.6） points,higher than（75.9±5.8） points of group B,the ASES score of group A was（89.2±3.7） points,higher than（70.0±2.2） points of group B,the complication incidence rate was 3.8% of group A,lower than 16.0% of group B.The indexes of group A were better than those of the group B,the differences were statistically significant（P〈0.05）.Conclusion：The treatment of absorbable screw for avulsion fracture of greater tuberosity of humerus is better,with more safety and less blood loss,lower postoperative infection rate,shorter hospital stay,faster fracture healing.It is worthy of using as the effective surgical treatment of avulsion fracture of the humerus greater tuberosity.

关 键 词：可吸收螺钉 解剖型钢板 内固定 肱骨大结节撕脱性骨折 

分 类 号：R687.3[医药卫生—骨科学]