摘要
目的探讨锁定钢板小切口微创治疗肱骨近端骨折的临床效果。方法选取2011年1月—2013年12月我院收治的肱骨近端骨折患者25例,按入院时间随机分成两组,运用锁定钢板小切口微创手术治疗观察组12例,运用常规切开复位内固定对照组13例,观察两组的临床治疗效果。结果在出血量上观察组平均出血量(177.50±88.42)mL,对照组平均出血量(357.70±253.32)mL,观察组明显优于对照组(P<0.05);在骨折愈合时间上观察组平均愈合时间(18.33±3.2)周,对照组平均愈合时间(21.62±3.45)周,观察组早于对照组(P<0.05);功能恢复上,观察组平均评分(90.91±4.72)分,对照组(84.77±8.74)分。观察组明显优于对照组(P<0.05)。结论对肱骨近端骨折患者采取锁定钢板小切口微创手术治疗,可以有效减少手术中出血,减少手术创伤,缩短骨折愈合时间。锁定钢板能有效稳定骨折断端,有利于早期功能训练,提高术后的功能康复。
Objective To explore the clinical effect of small incision minimally invasive locking plate in treatment of proximal humerus fractures.Methods From 2011 January to 2013 December in our hospital were proximal humerus fractures in patients with26 cases,were randomly divided into two groups,the observation group of 12 cases treated with locking plateminimally invasive operation,using conventional open reduction and internal fixation,14 cases in the control group,to observe the clinical therapeutic effect of two groups.Results Observation group average blood loss on the bleeding（177.50±88.42） for mL,the control group on average blood loss（357.70±253.32） mL,the observation group was better than control group（P〈0. 05）;Observation group on fracture healing time average healing time（18.33±3.2） for weeks,the control group on average healing time（21.62±3.45） for weeks,observation group earlier than the control group（P〈0. 05）;Functional recovery,the observation group mean score（90.91±4.72）,the control group（84.77±8.74）.The observation group was better than control group（P〈0. 05）.Conclusion The small incision minimally invasive operation of locking plate in treatment of proximal humerus fractures,can effectively reduce bleeding during the operation,reduce the operation trauma,shorten the time of fracture healing.The locking plate can effectivelystabilize the fracture end,is conducive to the early functional training,improve the functional rehabilitation after operation.
出处
《中国卫生产业》
2014年第19期19-21,共3页
China Health Industry
关键词
锁定钢板
肱骨近端骨折
微创
临床效果
Locking plate
Proximal humeral fracture
Minimally invasive
Clinical effect
