保守疗法治疗高龄肱骨下段骨折的疗效观察  

Observation on the curative effect of conservative treatment on lower humerus fracture in senile patients

作　　者：李轶 Yi Li(Deparement of Emergency Surgery,Shaanxi People’s Hospital,Xi’an,Shaanxi 710068,China)

机构地区：[1]陕西省人民医院急诊外科

出　　处：《中国现代医学杂志》2019年第24期102-105,共4页China Journal of Modern Medicine

摘　　要：目的探讨手法整复夹板固定联合分期用药对高龄肱骨下段粉碎性骨折患者的疗效及并发症的影响。方法选取2017年1月—2018年6月陕西省人民医院急诊外科收治的80例高龄肱骨下段粉碎性骨折患者。患者分为采取经皮前侧入路微创钢板内固定治疗的对照组及采取手法整复夹板固定联合分期用药治疗的观察组,各40例。对两组患者Mayo肘关节功能评分、肘关节活动度、并发症发生率进行比较分析。结果两组患者治疗后Mayo肘关节功能评分比较,差异无统计学意义(P>0.05),观察组骨折愈合时间短于对照组(P<0.05),观察组并发症总发生率低于对照组(P<0.05)。结论在高龄肱骨下段粉碎性骨折治疗中手法整复夹板固定联合分期用药与经皮前侧入路微创钢板内固定均能够取得理想的疗效,但前者并发症总发生率更低、骨折愈合时间更短,且因患者的特殊性,宜将手法整复夹板固定联合分期用药作为首选治疗方案。Objective To investigate the effect of manipulation and splint fixation combined with staged medication on the efficacy and complications of comminuted fracture of the lower humerus in elderly patients.Methods A simple random number table method was used to divide 80 patients with comminuted fractures of the lower tibia from January 2017 to June 2018 in our hospital into control group and observation group.The control group was treated with minimally invasive plate internal fixation with percutaneous anterior approach.And 40 patients in the observation group who underwent manual suture fixation combined with staged medication,and Mayo elbow joint function score,elbow joint activity,and complication rate between two groups were compared.Results After treatment,the observation group and the control group had similar elbow joint function scores(pain,flexion and extension function,joint stability,daily living function),and the difference was not statistically significant(P>0.05).Compared with the control group,the fracture healing time was shorter(P<0.05)and the total incidence of complications were less(P<0.05)in the observation group.Conclusions Manual suture fixation combined with staged medication and minimally invasive plate internal fixation with percutaneous anterior approach can achieve ideal curative effect,but the former has lower overall complication incidence,shorter fracture healing time.And because of the particularity of patients,manual suture fixation combined with staged medication should be the preferred treatment.

关 键 词：骨折 粉碎性 肱骨骨折 老年人 

分 类 号：R274.11[医药卫生—中医骨伤科学]