肱骨近端加压锁定钢板与传统钢板治疗肱骨近端骨折的疗效  

Therapeutic Effect of Proximal Humerus Compression Locking Plate and Traditional Plate on Proximal Humerus Fractures

作　　者：吴蔓 WU Man(Department of Orthopedics,the Second People's Hospital of Yichun City,Yichun 336000,Jiangxi,China)

机构地区：[1]江西省宜春市第二人民医院骨科,江西宜春336000

出　　处：《医学信息》2020年第14期107-109,共3页Journal of Medical Information

摘　　要：目的比较肱骨近端加压锁定钢板与传统钢板治疗肱骨近端骨折的疗效。方法选择2017年12月~2019年5月在我院诊治的肱骨近端骨折患者110例,采用随机数字表法分为对照组和观察组,各55例。对照组采用传统的钢板内固定治疗,观察组采用肱骨近端加压锁定钢板内固定治疗。比较两组临床治疗优良率、骨折愈合时间、Neer评分以及并发症发生率。结果观察组临床治疗优良率为96.36%,高于对照组的83.63%,差异有统计学意义(P<0.05);观察组骨折愈合时间为(13.02±3.87)周,短于对照组的(16.23±3.44)周,差异有统计学意义(P<0.05);治疗后两组Neer评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为3.63%,低于对照组的21.81%,差异有统计学意义(P<0.05)。结论肱骨近端加压锁定钢板治疗肱骨近端骨折的疗效确切,可在短时间内促进骨折愈合,并且并发症发生率低,可促进患者康复。Objective To compare the effect of proximal humerus compression locking plate and traditional plate on the treatment of proximal humeral fractures.Methods A total of 110 patients with proximal humeral fractures diagnosed and treated in our hospital from December 2017 to May 2019 were selected.They were divided into a control group and an observation group using random number table method,each with 55 cases.The control group was treated with traditional steel plate internal fixation,and the observation group was treated with proximal humeral compression locking plate fixation.The excellent rate of clinical treatment,fracture healing time,Neer score and incidence of complications were compared between the two groups.Results The excellent rate of clinical treatment in the observation group was 96.36%,which was higher than 83.63%in the control group,the difference was statistically significant(P<0.05);the fracture healing time of the observation group was(13.02±3.87)weeks,which was shorter than that of the control group(16.23±3.44)weeks,the difference was statistically significant(P<0.05);After treatment,the Neer scores of both groups were higher than before treatment,and the observation group was higher than the control group,the difference was statistically significant(P<0.05);the incidence rate of complications in the observation group was 3.63%,lower than 21.81%of the control group,the difference was statistically significant(P<0.05).Conclusion The proximal humerus compression locking plate has a definite therapeutic effect on proximal humeral fractures.It can promote fracture healing in a short time,and the incidence of complications is low,which can promote patient recovery.

关 键 词：加压锁定钢板 传统钢板 肱骨近端骨折 

分 类 号：R687.3[医药卫生—骨科学]