摘要
目的比较肱骨近端锁定钢板与髓内钉治疗肱骨外科颈骨折的临床疗效。方法 60例肱骨外科颈骨折患者,随机分为观察组与对照组,各30例。对照组采用肱骨近端锁定钢板固定法治疗,观察组采用髓内钉固定法治疗。对比两组疗效。结果观察组手术时间(77.3±11.8)min及骨折愈合时间(9.3±1.9)周短于对照组(P<0.05);术中出血量(51.6±9.8)ml少于对照组(P<0.05);两组术后颈干角比较,差异无统计学意义(P>0.05)。结论肱骨外科颈骨折采用肱骨近端锁定钢板与髓内钉固定均有较好的治疗效果,相对而言,髓内钉治疗肱骨外科颈骨折创伤更小、出血量更少,有利于术后骨折的尽快愈合,治疗效果更为明显。
Objective To compare clinical effects between locking proximal humerus plate and intramedullary nail in the treatment of humerus surgical neck fracture. Methods A total of 60 patients with humerus surgical neck fracture were randomly divided into observation group and control group, with 30 cases in each group. The control group received locking proximal humerus plate for treatment, and the observation group received intramedullary nail. Curative effects were compared between the two groups. Results The observation group had shorter operation time as（77.3±11.8） min and fracture healing time as（9.3±1.9） weeks than those in the control group（P〈0.05）, and its intraoperative bleeding volume as（51.6±9.8） ml was less than the control group（P〈0.05）. There was no statistically significant difference of postoperative collodiaphyseal angle between the two groups（P〈0.05）. Conclusion Both locking proximal humerus plate and intramedullary nail show good effect in the treatment of humerus surgical neck fracture. Comparison shows intramedullary nail with smaller trauma, less bleeding volume, quicker fracture healing after operation, and more remarkable effect.
出处
《中国现代药物应用》
2016年第14期22-23,共2页
Chinese Journal of Modern Drug Application
关键词
锁定钢板
髓内钉
肱骨外科颈骨折
Locking plate
Intramedullary nail
Humerus surgical neck fracture
