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高龄骨质疏松性肱骨近端三、四部分骨折治疗策略 被引量:2

The treatment strategies of senile osteoporotic fracture proximal humeral three or four parts
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摘要 目的:探讨高龄骨质疏松性肱骨近端三、四部分骨折治疗策略。方法选取2006年1月-2013年1月100例高龄骨质疏松性肱骨近端骨折患者按随机数字表均分为两组。研究组使用人工肱骨头置换术,对照组采用微创PHILOS钢板内固定术,术后常规抗炎和康复治疗等。观察两组患者骨性愈合时间、术后并发症发生情况及肩关节功能评分情况。结果研究组在骨性愈合时间、术后并发症发生情况及肩关节功能评分方面优于对照组,差异有统计学意义(P〈0.05)。结论人工肱骨头置换术在治疗高龄骨质疏松性肱骨近端三、四部分骨折方面具有愈合快、术后并发症少、早期功能锻炼的优点,具有较好的疗效。 Objective To evaluate the treatment strategies of senile osteoporotic fracture proximal humeral three or four parts. Methods From January 2006 to January 2013,100 patients were randomly divided into two groups according to random number table (n=50).The research group was treated by humeral head replacement. The control group was treated by minimally invasive percutaneous plate osteosynthesis philos plate. The bone healing ,postoperative complica-tions,Neer score in the two groups were reviewed and compared. Results The research group had better results in the aseptic necrosis of the bone healing,postoperative complications,neer scores than the control group. There were signifi-cant differences between the two groups (P〈0.05). Conclusion Artificial humerus head replacement in the treatment of senile osteoporotic fracture proximal humeral three and part four has quick healing, the advantages of less postopera-tive complications, early functional exercise, have good curative effect.
作者 温喜乐
出处 《中国现代医生》 2014年第18期116-118,共3页 China Modern Doctor
基金 浙江省继续医学教育项目(2011-04-07-010)
关键词 骨质疏松 肱骨近端骨折 人工肱骨头置换术 PHILOS Osteoporosis Proximal humeral fracture. Artificial humerus head replacement PHILOS
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