锁定钢板联合骨水泥治疗老年骨质疏松肱骨外科颈骨折的应用  

Application of locking plate combined with bone cement in the treatment of senile osteoporotic humeral surgical neck fractures

作　　者：陈进宇 郭志荣[1] 赵善明[1] CHEN Jinyu;GUO Zhirong;ZHAO Shanming(Department of Orthopedics,the People's Hospital of Xinhui District of Jiangmen,Guangdong,Jiangmen 529100,China)

机构地区：[1]广东省江门市新会区人民医院骨科,广东江门529100

出　　处：《中国医药科学》2021年第16期199-203,共5页China Medicine And Pharmacy

摘　　要：目的探讨锁定钢板联合骨水泥治疗老年骨质疏松肱骨外科颈骨折(HSNF)的效果。方法选取2019年1月至2020年6月江门市新会区人民医院骨科接收的72例老年骨质疏松肱骨外科颈骨折患者作为研究对象,根据随机数字表法分为对照组与研究组,每组各36例。对照组患者采用肱骨近端解剖钢板联合骨水泥治疗;研究组采用股骨近端锁定钢板联合骨水泥治疗,比较两组患者手术时间、术中失血量、术后住院时间、骨折愈合时间、术前及术后6个月的Neer肩关节评分、术后6个月疗效及并发症。结果研究组的术中失血量及术后住院时间均低于对照组,差异有统计学意义(P<0.05)。两组患者术后6个月的Neer肩关节评分的疼痛、功能、运动范围、解剖及总分高于术前;研究组术后6个月的Neer肩关节评分的疼痛、功能及总分均高于对照组同期,差异有统计学意义(P<0.05)。研究组术后6个月的疗效优于对照组,差异有统计学意义(P<0.05)。研究组与对照组术后6个月的优良率比较,差异无统计学意义(P>0.05)。研究组与对照组并发症发生率比较,差异无统计学意义(P>0.05)。结论锁定钢板联合骨水泥在老年质疏松肱骨外科颈骨折治疗中,疗效确切,手术及住院时间短,肩关节功能恢复更理想,值得应用。Objective To investigate the effect of locking plate combined with bone cement in the treatment of senile osteoporotic humeral surgical neck fractures(HSNF).Methods A total of Seventy-two elderly patients with osteoporotic humeral surgical neck fractures received from the Department of Orthopedics,the People's Hospital of Xinhui Districtof Jiangmen City from January 2019 to June 2020 were selected as the research objects.According to the random number table method,they were divided into the control group and the study group,each with 36 cases;patients in the control group were treated with proximal humerus anatomical plates combined with bone cement;patients in the study group were treated with proximal femoral locking plates combined with bone cement.The operation time,intraoperative blood loss,length of postoperative hospital stay,fracture healing time,and Neer shoulder score before and 6 months after surgery as well as efficacy and complications after 6 months were compared between the two groups.Results Intraoperative blood loss and postoperative hospital stay in the study group were lower and shorter than those in the control group,and the differenceswerestatistically significant(P<0.05).The Neer shoulder scores aboutpain,function,range of motion and anatomy and the total scores inthe two groups of patients at 6 months postoperatively were higher than those before surgery;the Neer shoulder score about pain and function and the total scores of the study group at 6 months postoperatively were higher than those of the control group over the same period,and the differenceswerestatistically significant(P<0.05).The efficacy of the study group was better than that of the control group at 6 months after surgery,and the difference was statistically significant(P<0.05);there was no statistical difference in the excellent and good rate between the study group and the control group at 6 months after surgery(P>0.05).There was no statistical difference in the incidence of complications between the study group and the cont

关 键 词：锁定钢板 骨水泥 老年 骨质疏松 肱骨外科颈骨折 疗效 

分 类 号：R687.3[医药卫生—骨科学]