交锁髓内钉与锁定钢板内固定治疗Neer2,3部分肱骨近端骨折疗效  

Effect of Interlocking Intramedullary Nail and Locking Plate Internal Fixation in Treatment of Neer 2 and 3 Proximal Humeral Fractures

作　　者：崔彦江[1] 付立新[1] 马子龙 张书钦[1] Cui Yanjiang;Fu Lixin;Ma Zilong;Zhang Shuqin(Guang’an Men Hospital Southern District,China Academy of Chinese Medical Sciences,Beijing 102618,China)

机构地区：[1]中国中医科学院广安门医院南区

出　　处：《北华大学学报（自然科学版）》2019年第6期783-786,共4页Journal of Beihua University（Natural Science）

基　　金：北京市自然科学基金项目(7182186)

摘　　要：目的探讨采用髓内钉和锁定钢板治疗肱骨近端骨折的不同临床效果.方法回顾性分析行肱骨近端骨折治疗的115例患者,其中65例患者使用髓内钉加固进行治疗,50例患者使用锁定钢板加固进行治疗.对两组患者手术用时、出血量、住院时间、骨折的治愈时间以及患者患肢的功能性恢复进行评价.结果使用髓内钉加固方式进行治疗的患者创口的面积较小,手术时间短,患肢的出血量更少,差异显著(P<0.05);两组患者术后愈合情况无明显差异(P>0.05).结论在对肱骨近端骨折的加固术中使用髓内钉和锁定钢板两种不同的加固方式均能达到较好的治疗效果.Objective To explore the therapeutic effects of intramedullary nail and locking plate on proximal humerus fractures.Method 115 patients with proximal humerus fracture were retrospectively analyzed,among which 65 patients were treated with intramedullary nail reinforcement and 50 patients were treated with locking plate reinforcement.Operative time,blood loss,length of stay,healing time of fracture and functional recovery of affected limb were evaluated in the two groups.Results After comparing two different reinforcement methods,it was found that patients treated with the reinforcement method of intramedullary nail had smaller wound area,shorter time between operations,and less blood loss of the affected limb.The comparison results were significantly different with statistical significance( P < 0. 05). There was no significant difference in postoperative healing between the two groups( P > 0.05). Conclusion Two different reinforcement methods of intramedullary nailing and locking plate can achieve better therapeutic effects in the reinforcement of proximal humerus fracture.

关 键 词：肱骨近端骨折 手术治疗 交锁髓内钉 锁定钢板 

分 类 号：R683.41[医药卫生—骨科学]