摘要
目的:探究肩关节前外侧入路内固定治疗老年肱骨近端骨折患者的效果。方法:选取笔者所在医院2018年3月-2019年3月老年肱骨近端骨折患者92例,依据手术方案不同将其分为研究组(n=46)、对照组(n=46)。对照组行胸大肌三角肌间沟入路内固定,研究组行肩关节前外侧入路内固定。比较两组手术指标(切口长度、术中出血量、手术时间、骨折愈合时间)、术后1、3、7、10 d肿胀程度、术后3个月肩关节活动度、肩关节恢复优良率。结果:研究组切口长度短于对照组,术中出血量少于对照组,手术时间、骨折愈合时间优于对照组,差异有统计学意义(P<0.05)。研究组术后1、3、7 d肿胀程度低于对照组,差异有统计学意义(P<0.05)。术后3个月,研究组肩关节外展、后伸、外旋活动度优于对照组,差异有统计学意义(P<0.05)。术后3个月,研究组肩关节恢复优良率为91.30%(42/46),高于对照组的76.09%(35/46),差异有统计学意义(P<0.05)。结论:肩关节前外侧入路内固定治疗老年肱骨近端骨折可促进术后骨折愈合,缓解术后肿胀程度,改善肩关节活动度,加快肩关节恢复。
Objective:To investigate the effect of anterolateral approach internal fixation of shoulder joint in the treatment of proximal humeral fractures in elderly patients.Method:A total of 92 elderly patients with proximal humeral fractures in our hospital from March 2018 to March 2019 were selected.They were divided into the study group (n=46) and the control group (n=46) according to different surgical procedures.The control group received internal fixation via the deltoid sulcus approach of the pectoralis major,and the study group received anterolateral approach internal fixation of shoulder joint.The surgical indicators (incision length,intraoperative blood loss,operative time,fracture healing time),swelling degree on 1,3,7 and 10 d after operation,shoulder joint motion at 3 month after operation,and excellent and good rate of shoulder joint recovery were compared between the two groups.Result:The incision length of the study group was shorter than that of the control group,the intraoperative blood loss was less than that of the control group,and the operation time and fracture healing time were better than that of the control group,the differences were statistically significant (P<0.05).The swelling degree of the study group were lower than those of the control group on 1,3 and 7 d after operation,the differences were statistically significant (P<0.05).Three months after the operation,the shoulder joint motion of abduction,posterior extension and external rotation in the study group were better than those in the control group,and the differences were statistically significant (P<0.05).Three months after the operation,the excellent and good rate of shoulder joint recovery in the study group was 91.30% (42/46),which was higher than 76.09% (35/46) in the control group,and the difference was statistically significant (P<0.05).Conclusion:Anterolateral approach internal fixation of shoulder joint in the treatment of proximal humeral fractures in elderly patients can promote postoperative fracture healing,relieve postope
作者
易成朋
YI Chengpeng(Huangshi Aikang Hospital,Huangshi 435000,China)
出处
《中外医学研究》
2020年第11期16-18,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
肱骨近端骨折
内固定
肩关节前外侧入路
Proximal humeral fracture
Internal fixation
Anterolateral approach of shoulder joint
