摘要
目的分析与探讨锁定钢板内固定治疗肱骨近端NeerⅡ～Ⅲ型骨折的临床治疗效果及手术指征。方法将2010～2013年收治的肱骨近端NeerⅡ～Ⅲ型骨折患者142例作为临床研究对象,并将其随机分为手术治疗组72例和保守治疗组70例。保守治疗组运用手法复位外固定进行治疗,手术组运用锁定钢板内固定手术进行治疗。观察两组临床疗效和分析更适合手术治疗的手术指征。结果治疗后24周手术组治疗优良率为83.33%,保守组为65.71%,手术组优于保守组（P〈0.05）。保守治疗组治疗效果与骨折位移、骨端成角、合并大结节骨折、合并骨折数目呈负相关（P〈0.05）。结论对于肱骨近端NeerⅡ～Ⅲ型骨折的患者而言,采用锁定钢板内固定进行治疗比采用保守治疗有更好的临床治疗效果。同时骨折位移大、骨折成角大、合并大结节骨折、合并骨折数目较多的患者更适合手术治疗。
Objective To compare the clinical efficacy of locking plate internal fixation and conservative restoration treatment on treating proximal humeral Neer II ～ III type fractures,and to analyze the indication of operative treatment.Methods 142 patients with proximal humeral Neer Ⅱ ～ Ⅲ type fractures were enrolled into this study.According to random number table,they were divided into surgical group with 72 patients and conservative group with 70 patients.Gimmick reset external fixation treatment was used in conservative group,while locking plate internal fixation surgery was used in surgical group.Results The curative ratio of the patients in surgical group after 24 weeks were 83.33%,which was significantly higher than the patients in conservative group（ 65.71%,P0.05）.Negative correlation were observed between the therapeutic effect and fracture displacement,extremities angulations,combination of the greater tuberosity fracture,and fracture number（ P0.05）.Conclusion As for the patients with proximal humeral Neer Ⅱ ～ Ⅲ type fracture,locking plate internal fixation has a better therapeutic effect than conservative restoration treatment.What＇s more important,the patients with more fracture displacement,more fracture angulations,greater tuberosity fracture and bigger number of fractures were more suit for surgical treatment.
出处
《临床和实验医学杂志》
2015年第4期319-322,共4页
Journal of Clinical and Experimental Medicine
关键词
肱骨近端骨折
锁定钢板内固定
手术指征
Proximal humeral fractures
Locking plate internal fixation
Treatment indications
