摘要
目的分析锁定钢板在复杂肱骨近端骨折治疗中的临床效果。方法方便选取2014年1月-2017年12月在该院就诊的复杂肱骨近端骨折患者56例,依照数字随机表法将其分成对照组及观察组,每组28例,对照组予以LPHP方案治疗,观察组予以PHILOS治疗,分析组间治疗效果差异。结果观察组术中出血量(40.85±32.84)m L及骨折愈合时间(12.67±2.52)d均显著低于对照组的(71.56±6.90)mL、(18.76±3.34)d,组间数据差异有统计学意义(t=20.579、7.702,P<0.05);观察组术后6个月肩关节外旋、前屈、外展及内旋活动度分别为(44.52±3.51)°、(115.87±5.69)°、(128.57±4.58)°、(45.95±4.42)°显著高于对照组的(41.08±3.17)°、(103.84±4.88)°、(121.46±4.29)°、(41.81±4.05)°,组间数据差异有统计学意义(t=5.669、8.492、5.995、3.654,P<0.05);观察组术后12个ASES、VAS、UCLA及SST评分分别为(78.84±5.57)分、(1.01±0.49)分、(31.51±1.68)分、(8.19±1.04)分,与对照组的(77.49±4.91)分、(1.22±0.52)分、(30.94±1.73)分、(7.79±0.95)分之间数据差异无统计学意义(t=0.962、1.555、1.251、1.503,P>0.05);观察组术后6个月切口感染率3.57%、切口延迟愈合率0.00%、钢板松动率0.00%、肩关节僵硬率0.00%均稍低于对照组的7.14%、3.57%、7.14%、3.57%(χ2=0.352、1.018、2.074、1.018,P>0.05)。结论在复杂肱骨近端骨折切开复位内固定术中予以锁定钢板有助于加速患者康复,临床价值较好。
Objective To analyze the clinical effect of locking plate in the treatment of complex proximal humeral fractures.Methods A total of 56 patients with complicated proximal humeral fractures who were Convenient treated in our hospital from January 2014 to December 2017 were enrolled. The patients were divided into the control group and the observation group according to the numerical random table method. Each group had 28 cases, and the control group was given LPHP. In the treatment of the regimen, the observation group was treated with PHILOS, and the difference in treatment effect between the groups was analyzed. Results The intraoperative blood loss(40.85±32.84)mL and fracture healing time(12.67±2.52)d were significantly lower in the observation group than in the control group(71.56±6.90)mL,(18.76±3.34)d. Statistical significance(t=20.579, 7.702, P<0.05);the external rotation, flexion, abduction and internal rotation of the shoulder joint in the observation group were(44.52 ±3.51)°,(115.87 ±5.69),(128.57 ±4.58)°,(45.95 ±4.42)° significantly higher than the control group(41.08 ± 3.17)°,(103.84 ± 4.88)°,(121.46 ± 4.29)°,(41.81±4.05)°, there were statistically significant differences between the groups(t=5.669, 8.492, 5.995, 3.654, P<0.05). The scores of 12 ASES, VAS, UCLA and SST in the observation group were(78.84±5.57) points and(1.01±0.49)points,(31.51±1.68) points,(8.19±1.04)points, and(77.49±4.91)points,(1.22±0.52)points,(30.94±1.73)points, and(7.79±0.95)points of the control group. There was no significant difference between the data(t=0.962, 1.555, 1.251, 1.503, P>0.05);the incision infection rate was 3.57% in the observation group at 6 months after operation, and the incision delayed healing rate of 0.00%, 0.00% loosing, shoulder stiffness were slightly lower than 0.00%and 7.14%, 3.57%, 7.14%, 3.57% in the control group(χ~2=0.352,1.018,2.074,1.018, P>0.05). Conclusion Locking the plate in the open reduction and internal fixation of the proximal humerus fracture is helpful to acce
作者
蔡俊雄
CAI Jun-xiong(Department of Orthopaedics,Yong'an Municipal Hospital,Sanming,Fujian Province,366000 China)
出处
《中外医疗》
2019年第31期38-40,共3页
China & Foreign Medical Treatment
关键词
锁定钢板
复杂巩固近端骨折
治疗效果
Locking plate
Complex consolidation of proximal fracture
Treatment effect
