锁定钢板与T型钢板在肱骨近端骨折治疗中的疗效比较

发布时间：2018-01-19 10:08

本文关键词： 肱骨近端骨折锁定钢板 T型钢板　出处：《华北理工大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的比较锁定钢板与T型钢板在肱骨近端骨折治疗中的临床疗效。方法收集自2009年至2014年在唐山市第二医院肱骨近端骨折治疗的患者40例其中采用T型钢板治疗内固定的有13例,平均年龄54.7岁,采用锁定钢板内固定治疗的27例,平均年龄59.3岁。两组病例都是术后6个月进行定期回访,记录各项指标观察结果,两组数据采用独立样本t检验进行统计学分析。结果两组病例中各项分别比较,两组病例中年龄及分型构成比较,P0.05,差异无显著性。两组病例中锁定钢板及T型钢板术中出血量分别比较,均得出P0.05,差异无显著性。两组病例中锁定钢板及T型钢板术后引流量分别比较,均得出P0.05,差异无显著性。两组病例中两部分及三部分骨折平均手术时间分别比较,均得出P0.05,差异无显著性。两组病例中两部分及三部分骨折临床愈合时间比较,均得出P0.05,差异无显著性。两组病例中两部分及三部分骨折术后并发症分别比较,得出P0.05,差异有显著性。两组病例中两部分及三部分骨折术后肩关节评分分别比较,得出P0.05,差异有显著性。结论在肱骨近端骨折治疗中,排除年龄、性别、Neer分型的影响,锁定钢板固定治疗在总体上的疗效明显优于T型钢板固定治疗。锁定钢板具有切口小,符合人体生理特点,对骨骼骨膜血运的破坏小,骨折愈合快,一期愈合率高,患者疼痛程度轻微,肩肘关节功能恢复好,能较快进入正常生活的状态,术后发生骨折延迟愈合或骨不连的发生率低,并发症及后遗症少,缩短了疗程。同时,在一定程度上减轻患者及社会的经济负担。除此,在治疗肱骨近端骨折治疗方法选择中,提供了具有价值的参考意义,为今后骨科的发展、患者的治疗提供了更加明晰的思路。
[Abstract]:Objective to compare the clinical effect of locking plate and T-shaped plate in the treatment of proximal humerus fracture. Methods from 2009 to 2014, 40 patients with proximal humerus fracture in Tangshan second Hospital were collected. Thirteen cases were treated with T-plate. The average age was 54.7 years old, 27 cases were treated with locking plate fixation, the average age was 59.3 years. Two groups of data were analyzed by independent sample t-test. Results the two groups of cases were compared, the two groups of cases in the age and the composition of classification were compared P05. There was no significant difference between the two groups. The volume of intraoperative bleeding of locking plate and T-shaped plate were compared respectively, all obtained P0.05. There was no significant difference between the two groups. The drainage volume of locking plate and T-shaped plate were compared respectively in the two groups, all obtained P0.05. There was no significant difference between the two groups. The average operation time of the two parts and three parts of fracture were compared respectively, all obtained P0.05. There was no significant difference between the two groups. The clinical healing time of the two and three parts of fracture were compared and the results showed that there was no significant difference (P 0.05). The complications of the two and three parts of fracture were compared respectively in the two groups. P0.05, the difference is significant. Two and three parts of fracture of the two groups of patients after shoulder joint score, P0.05, the difference is significant. Conclusion in the treatment of proximal humerus fracture. Excluding the influence of age, sex and Neer classification, the effect of locking plate fixation was significantly better than that of T-shaped plate fixation in general. Locking plate had small incision and accord with physiological characteristics of human body. To the bone periosteum blood circulation damage little, the fracture union fast, the primary healing rate is high, the patient pain degree is slight, the shoulder elbow joint function recovers well, can enter the normal life state quickly. The incidence of delayed fracture healing or nonunion after operation is low, the complications and sequelae are less, and the course of treatment is shortened. At the same time, the economic burden of patients and society is alleviated to a certain extent. In the treatment of proximal humerus fracture, it provides a valuable reference for the development of orthopedics and the treatment of patients.
【学位授予单位】：华北理工大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

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