摘要
目的:探讨分析手法闭合复位经皮运用锁定接骨板微创固定治疗肱骨近端骨折的临床效果。方法:以我院2011年5月至2013年5月间收治的42例肱骨近端骨折患者为研究对象,随机分为观察组与对照组,观察组患者采用手法闭合复位经皮运用锁定接骨板微创固定进行治疗,对照组患者采用常规手术切口复位内固定进行治疗。结果:观察组患者手术时间(49.5±10.3)min、术中出血量(133.5±30.1)ml、切口长度(7.7±0.6)cm均低于对照组患者(67.4±12.6)min、(254.3±60.2)ml、(15.2±1.5)cm;观察组患者肩关节前屈活动度(135.6±13.4)°、外旋活动度(42.3±5.2)°均优于对照组患者(108.5±18.6)°、(37.5±4.3)°;观察组患者不良反应总发生率(28.6%)低于对照组患者(61.9%),差异均具有统计学意义(P<0.05)。结论:手法闭合复位经皮运用锁定接骨板微创固定治疗肱骨近端骨折患者,具有微创、低损伤、促进功能恢复、降低不良反应发生率、安全性高等优点,值得应用与推广。
Objective：To study the clinical efficacy of closed manipulative reduction used in the treatment of minimal invasive internal fixation with locking plate on proximal humeral fractures.Methods：In this study,42 patients with proximal humeral fractures in our hospital from May2011 to May 2013 were randomly divided into observation group and control group.The observation group were treated by closed manipulative reduction used in the treatment of minimal invasive internal fixation with locking plate,while the control group were treated by conventional operation using open reduction and internal fixation.Results：The operation duration time in observation group was（49.5±10.3）min which was significantly shorter than（67.4±12.6）min in control group.The amount of bleeding in observation group was（133.5±30.1）ml which was significantly less than（254.3±60.2）ml in control group.The length of incision in observation groupwas（7.7±0.6）cm which was significantly less than（15.2±1.5）cm in control group.The forward flexion range of shoulder joint in observation group was（135.6±13.4）°which was better than（108.5±18.6）°in control group.The extorsion range in observation group was（42.3±5.2）°which was better than（37.5±4.3）°in control group.The adverse reaction rate in observation group was 28.6% which was less than 61.9%in control group.All these differences were statistically significant（P〈0.05）.Conclusion：The closed manipulative reduction used in the treatment of minimal invasive internal fixation with locking plate on proximal humeral fractures has a great number of advantages,such as minimal invasive,low injury,promoting the functional recovery,reducing the incidence of adverse reactions,high security and so on,which is worthy of widely application.
出处
《武汉大学学报（医学版）》
CAS
2015年第3期437-439,457,共4页
Medical Journal of Wuhan University
关键词
手法闭合复位
锁定接骨板
微创
肱骨近端骨折
Closed Manipulative Reduction
Locking Plate
Minimal Invasive
Proximal Humeral Fractures
