微创锁定接骨板与传统切开复位内固定术治疗肱骨近端骨折的临床疗效研究

发布时间：2018-02-13 14:43

本文关键词： 肱骨骨折骨折固定术内微创临床疗效　出处：《重庆医学》2017年27期 　论文类型：期刊论文

【摘要】：目的比较微创锁定接骨板(MIPO)与传统切开复位内固定术(ORIF)治疗肱骨近端骨折的疗效。方法收集2011年2月至2013年1月接受手术治疗的65例肱骨近端骨折患者的临床资料,根据手术方式将患者分为MIPO组(26例)和ORIF组(39例)。比较两组患者手术和住院情况,术后通过电话和门诊的方式对患者进行随访。采用Neer评分和欧洲五维健康量表(EQ-5D)评估患者肩关节功能和生活质量,采用视觉疼痛模拟评分(VAS)评估患者疼痛程度。结果与ORIF组相比,MIPO组手术时间短、出血少、住院时间短,但两组并发症发生率差异无统计学意义(P0.05)。所有患者术后均完成3年以上的随访,平均随访时间(47.2±6.1)个月。末次随访时MIPO组和ORIF组患者肩关节功能评分为(84.1±9.3)、(82.8±11.5)分,生活质量评分为(0.91±0.09)、(0.89±0.10)分,VAS评分为(0.9±0.8)、(1.2±0.7)分,两组患者各项评分差异均无统计学意义(P0.05)。结论 MIPO与ORIF治疗肱骨近端骨折均可取得良好的临床疗效,MIPO技术具有创伤小、恢复快等特点。
[Abstract]:Objective to compare the efficacy of minimally invasive locking plate splint (MIPO) and traditional open reduction and internal fixation in the treatment of proximal humeral fractures. Methods 65 patients with proximal humeral fractures received surgical treatment from February 2011 to January 2013 were collected. The patients were divided into two groups: MIPO group (n = 26) and ORIF group (n = 39). The patients were followed up by telephone and outpatient service after operation. The shoulder function and quality of life were evaluated by Neer score and EQ-5D. Results compared with the ORIF group, the operation time was shorter, the bleeding was less, and the hospital stay was shorter. However, there was no significant difference in the incidence of complications between the two groups (P 0.05). All the patients were followed up for more than 3 years, with an average follow-up time of 47.2 卤6.1 months. At the last follow-up, the scores of shoulder joint function in MIPO group and ORIF group were 84.1 卤9.3 and 82.8 卤11.5, respectively. The quality of life score (QOL) was 0.91 卤0.09 (0.89 卤0.10) and VAS was 0.9 卤0.8 (1.2 卤0.7). There was no significant difference between the two groups (P 0.05). Conclusion both MIPO and ORIF can achieve good clinical effect in the treatment of proximal humeral fractures.
【作者单位】：北大医疗淄博医院骨科;北京积水潭医院创伤骨科;
【分类号】：R687.3

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