肱骨近端锁定钢板治疗老年肱骨近端骨骨折的临床效果分析(1)
[摘要] 目的 探讨肱骨近端锁定钢板(LPPH)治疗老年肱骨近端骨折的临床疗效。 方法 选取我院在2011年6月～2013年6月收治的肱骨近端骨折老年患者40例，根据治疗方式的不同分为观察组和对照组，观察组给予LPPH治疗，对照组行传统钢板治疗，并比较两组疗效。 结果 观察组患者在术后6个月和12个月时的疼痛评分以及活动度评分均明显小于对照组，两组优良率比较差异有统计学意义(P<0.05)；观察组并发症发生率显著低于对照组，差异有统计学意义(P<0.05)。 结论 肱骨近端缩短钢板在老年肱骨近端骨折的治疗中疗效显著，且具有疼痛轻、功能恢复良好、并发症少等优势，值得临床推广应用。
[关键词] 肱骨近端骨折；老年；肱骨近端锁定钢板；传统钢板
[中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701(2015)12-0037-04
The clinical efficacy analysis of locking proximal humerus plate in curing senile proximal humerus fractures
, 百拇医药
ZHANG Wei1 HE Jing2 ZHANG Xiaojun1 JIANG Huanze1 ZHENG Weiping1
1.Department of Orthopedics，Xianju TCM Hospital in Zhejiang Province， Xianju 317300，China；2.Department of Nephrology， Jiangxi Provincial People's Hospital， Nanchang 330006， China
[Abstract] Objective To investigate the clinical efficacy of locking proximal humeral plate(LPPH) in curing senile proximal humerus fractures. Methods According to different forms of treatments， 40 cases of senile proximal humerus fractures in our hospital from June 2011 to June 2013， were divided into the observation group and the control group. The observation group accepted LPPH treatment， and the control group underwent conventional plate treatment， and the efficacy of the two groups was compared. Results Pain scores and activity scores of the patients after 6 months and 12 months were significantly lower than those of the control group， and there was a significant difference between good rates. Complication rate in the observation group was significantly lower than that of the control group， with statistically significant difference (P<0.05). Conclusion The efficacy of the treatment of shortened proximal humerus plate in senile proximal humerus fractures is remarkable. Locking proximal humerus plate has light pain， good functional recovery， fewer complications and other advantages， so it is worthy of clinical application.
, 百拇医药
[Key words] Proximal humerus fractures； Senile； Locking proximal humerus plate； Conventional plates
肱骨近端骨折在临床中并不少见，占全身骨折的的4%～5%，且多发于老年人群，并多由骨质疏松引起[1]。根据Neer分型可分为一部分骨折、二部分骨折、三部分骨折和四部分骨折，80%患者属于一部分骨折，一般可行保守治疗治愈，但是对于明显移位的二、三和四部分骨折临床一般主张行手术内固定治疗[2]，但目前内固定方法较多，我院近年来采用肱骨近端锁定钢板(locking plate of proximal humerus，LPPH)治疗老年肱骨近端骨折取得较满意疗效，现报道如下。
1资料与方法
1.1一般资料
选取我院在2011年6月～2013年6月收治的肱骨近端骨折老年患者40例，所有患者临床症状均表现为肩部肿痛、活动受限，根据Neer分型为二、三和四部分骨折，且所有患者骨密度测定值均低于同年龄组2.5%，同时排除合并神经血管损伤以及影响骨折愈合的严重基础疾病等患者。根据治疗方式的不同将所有患者分为观察组和对照组，各20例，观察组，男8例，女12例，年龄65～83岁，平均(72.4±3.6)岁，致伤原因：摔伤13例，交通伤5例，重物压砸伤2例，Neer分型：二部分骨折4例，三部分骨折10例，四部分骨折6例；对照组女13例，男7例，年龄65～82岁，平均(71.6±3.8)岁，致伤原因：摔伤14例，交通伤5例，重物压砸伤1例，Neer分型：二部分骨折4例，三部分骨折11例，四部分骨折5例。两组患者在性别、年龄、致伤原因以及Neer分型等方面的比较，差异均无统计学意义(P>0.05)，具有可比性。, 百拇医药(张伟 何静等)
[关键词] 肱骨近端骨折；老年；肱骨近端锁定钢板；传统钢板
[中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701(2015)12-0037-04
The clinical efficacy analysis of locking proximal humerus plate in curing senile proximal humerus fractures
, 百拇医药
ZHANG Wei1 HE Jing2 ZHANG Xiaojun1 JIANG Huanze1 ZHENG Weiping1
1.Department of Orthopedics，Xianju TCM Hospital in Zhejiang Province， Xianju 317300，China；2.Department of Nephrology， Jiangxi Provincial People's Hospital， Nanchang 330006， China
[Abstract] Objective To investigate the clinical efficacy of locking proximal humeral plate(LPPH) in curing senile proximal humerus fractures. Methods According to different forms of treatments， 40 cases of senile proximal humerus fractures in our hospital from June 2011 to June 2013， were divided into the observation group and the control group. The observation group accepted LPPH treatment， and the control group underwent conventional plate treatment， and the efficacy of the two groups was compared. Results Pain scores and activity scores of the patients after 6 months and 12 months were significantly lower than those of the control group， and there was a significant difference between good rates. Complication rate in the observation group was significantly lower than that of the control group， with statistically significant difference (P<0.05). Conclusion The efficacy of the treatment of shortened proximal humerus plate in senile proximal humerus fractures is remarkable. Locking proximal humerus plate has light pain， good functional recovery， fewer complications and other advantages， so it is worthy of clinical application.
, 百拇医药
[Key words] Proximal humerus fractures； Senile； Locking proximal humerus plate； Conventional plates
肱骨近端骨折在临床中并不少见，占全身骨折的的4%～5%，且多发于老年人群，并多由骨质疏松引起[1]。根据Neer分型可分为一部分骨折、二部分骨折、三部分骨折和四部分骨折，80%患者属于一部分骨折，一般可行保守治疗治愈，但是对于明显移位的二、三和四部分骨折临床一般主张行手术内固定治疗[2]，但目前内固定方法较多，我院近年来采用肱骨近端锁定钢板(locking plate of proximal humerus，LPPH)治疗老年肱骨近端骨折取得较满意疗效，现报道如下。
1资料与方法
1.1一般资料
选取我院在2011年6月～2013年6月收治的肱骨近端骨折老年患者40例，所有患者临床症状均表现为肩部肿痛、活动受限，根据Neer分型为二、三和四部分骨折，且所有患者骨密度测定值均低于同年龄组2.5%，同时排除合并神经血管损伤以及影响骨折愈合的严重基础疾病等患者。根据治疗方式的不同将所有患者分为观察组和对照组，各20例，观察组，男8例，女12例，年龄65～83岁，平均(72.4±3.6)岁，致伤原因：摔伤13例，交通伤5例，重物压砸伤2例，Neer分型：二部分骨折4例，三部分骨折10例，四部分骨折6例；对照组女13例，男7例，年龄65～82岁，平均(71.6±3.8)岁，致伤原因：摔伤14例，交通伤5例，重物压砸伤1例，Neer分型：二部分骨折4例，三部分骨折11例，四部分骨折5例。两组患者在性别、年龄、致伤原因以及Neer分型等方面的比较，差异均无统计学意义(P>0.05)，具有可比性。, 百拇医药(张伟 何静等)