微创锁定接骨板内固定术治疗肱骨近端骨折效果观察

发布时间：2018-05-26 10:29

本文选题：肱骨近端骨折 + 微创手术　；参考：《山东医药》2017年46期

【摘要】：目的观察微创锁定接骨板内固定术治疗肱骨近端骨折患者的临床疗效。方法收集90例肱骨近端三、四部分骨折患者,其中行解剖接骨板内固定术45例(对照组)、微创锁定接骨板内固定术45例(观察组)。记录两组手术时间、术中出血量及术后骨折愈合时间,采用视觉模拟法(VAS)评价治疗前后疼痛程度,采用Neer肩关节功能评分评价临床疗效,观察术后并发症发生情况。结果观察组手术时间、术后骨折愈合时间短于对照组,术中出血量少于对照组(P均0.05);治疗前两组VAS比较无统计学意义,治疗后两组VAS均低于治疗前(P均0.05),且观察组治疗后VAS低于对照组(P0.05)。观察组治疗后临床疗效优良率93.33%,高于对照组的73.33%(P0.05);术后并发症总发生率6.67%,低于对照组的24.44%(P0.05)。结论微创锁定接骨板内固定术治疗肱骨近端三、四部分骨折疗效较好,可降低患者疼痛程度,减少术后并发症,从而改善患者关节功能。
[Abstract]:Objective to observe the clinical effect of minimally invasive locking plate fixation in the treatment of proximal humerus fracture. Methods 90 cases of proximal humerus fracture with three or four parts of humerus were collected. Among them, 45 cases were treated with anatomical plate internal fixation (control group) and 45 cases with minimally invasive locking plate internal fixation (observation group). The operation time, intraoperative bleeding volume and fracture healing time were recorded. Visual analogue method was used to evaluate the degree of pain before and after treatment. Neer shoulder function score was used to evaluate the clinical effect and observe the occurrence of postoperative complications. Results the operative time and fracture healing time in the observation group were shorter than those in the control group, and the amount of intraoperative bleeding was less than that in the control group (P < 0.05). There was no significant difference in VAS between the two groups before treatment. After treatment, the VAS of the two groups was lower than that of the control group (P < 0.05), and the VAS of the observation group was lower than that of the control group (P < 0.05). The excellent and good rate of clinical effect after treatment in the observation group was 93.33, which was higher than that in the control group (73.33), and the total incidence of postoperative complications was 6.67, which was lower than that in the control group (24.44). Conclusion minimally invasive locking plate internal fixation is effective in the treatment of proximal humerus fractures. It can reduce the degree of pain and postoperative complications and improve the joint function of the patients.
【作者单位】：云南省第一人民医院;
【分类号】：R687.3

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