摘要
目的比较肱骨近端髓内钉（PHN）和锁定加压接骨板（LCP）内固定治疗Ⅱ型肱骨外科颈骨折的临床效果。方法从2006年3月至2010年12月，将在武汉市第十一医院治疗的48例成人新鲜Ⅱ型肱骨外科颈骨折患者随机分为PHN组和LCP组，每组24例，比较两组手术时间、术中出血量、切口总长度、肩关节活动范围、Constant．Murley肩关节功能评分及手术并发症。结果PHN组手术时间（79．8±31．2）min、术中出血量为（198．7±123．9）ml、切口总长度为（7．9±2．7）cm、肩关节外展活动度为（93．5±15．7）°，LCP组手术时间为（117．6±38．3）min、术中出血量为（394．8±199．5）ml、切口总长度为（15．3±3．1）em、肩关节外展活动度为（106．6±16．4）°，两组差异有统计学意义（P〈0．01）；肩关节前屈、外旋、内旋、Constant—Murley肩关节评分差异无统计学意义（P〉0．05）。结论PHN和LCP内固定治疗Ⅱ型肱骨外科颈骨折均可获得良好的疗效，PHN内固定创伤更小，LCP内固定术后患肢外展功能更好。
Objective To compare the clinical effect between proximal humeral nail （PHN） and locking compression plate （LCP） in treatment of type-]] humeral surgical neck fractures. Methods Se- lected 48 cases with type- ]] humeral surgical neck fractures were randomly divided into PHN group （ 24 cases） and LCP group （24 cases） from March 2006 to December 2010, and compare the surgery time, blood loss during surgery, total length of wound, range of motion, Constant-Murley Shoulder Score, and the complications between the two groups. Results Surgery time （79. 8 ± 31.2） min, blood loss during sur- gery （198.7 ±123.9） ml, total length of wound （7.9 ±2.7） cm, abduction function （93.5 ±55.7）° in PHN group, and the surgery time （117.6 ±38.3）min, blood loss during surgery （394. 8 ± 199. 5）ml, to- tal length of wound （ 15.3 ± 3. 1 ） cm, abduction function （ 106. 6 ± 16.4） o in LCP group were significantly different （ P 〈 0. 01 ）. There was no statistical difference on forward fleetion, external rotation, internal ro- tation and Constant-Mudey Shoulder Score between the two groups （ P 〉 0. 05 ）. Conclusion Both of PHN and LCP could get good therapeutic effect. Proximal humeral nail could perform with minimally invasive approach while locking compression plate could get a good abduction function.
出处
《中华实验外科杂志》
CAS
CSCD
北大核心
2012年第12期2599-2600,共2页
Chinese Journal of Experimental Surgery
关键词
肱骨外科颈骨折
肱骨近端髓内钉
锁定加压接骨板
Humeral surgical neck fractures
Proximal humeral nail
Locking compression plate
