摘要
目的探讨顺行髓内钉内固定治疗肱骨干骨折的治疗效果。方法将76例肱骨干骨折患者按手术方式分为髓内钉组(n=38,采用顺行髓内钉内固定)及钢板组(n=38,采用锁定钢板内固定)。记录患者平均手术时间、术中出血量、住院时间、骨折愈合时间,术后并发症的发生情况,采用肩关节Neer评分法和美国肩肘外科医师评分(ASES)法综合评估肩关节功能。结果髓内钉组患者的平均手术时间、术中出血量、住院时间及骨骼愈合时间显著优于钢板组(P<0.05)。髓内钉组、钢板组患者术后并发症发生率分别为10.53%、21.05%,肩肘关节功能的优良率分别为84.21%、65.79%,两组比较,差异有统计学意义(P<0.05)。结论顺行髓内钉内固定治疗肱骨干骨折具有固定牢固、肩肘关节功能恢复良好、术后并发症少的优点,值得临床推广。
Objective To explore the therapeutic effect of internal fixation with antegrade intramedullary nail in treatment of humeral shaft fracture. Methods 76 cases of humeral shaft fracture were divided into intramedullary nail group（n =38,accepted internal fixation with antegrade intramedullary nail） and steel plate group（n= 38, accepted internal fixation with locked steel plate）. The average operation duration,intraoperative bleeding, length of hospital stay, bone fracture healing times, incidences of postoperative complications of patients were recorded. The Neer shoulder assessment scale and the American shoulder and elbow surgeons score were employed to conduct comprehensive assessment of shoulder function. Results The average operation duration,intraoperative bleeding,length of hospital stay,bone fracture healing times, occurrences of postoperative complications of patients in intramedullary nail group were significantly superior to those in steel plate group（P〈0.05）. Patients in intramedullary nail group and steel plate group demonstrated the incidences of postoperative complications of 10.53 %, 21.05 %, rates of excellent and good shoulder and elbow function of 84. 21 %, 65. 79%, respectively, with statistically significant differences （P〈 0.05 ）. Conclusion Treatment humeral shaft fractures with internal fixation with antegrade intramedullary nail possesses merits of firm fixation,good recovery of shoulder and elbow function and less postoperative complications, and is worthy of clinical promotion.
出处
《重庆医学》
CAS
CSCD
北大核心
2013年第2期149-150,153,共3页
Chongqing medicine
基金
湖南省卫生厅课题资助项目(2011031241)
关键词
肱骨骨折
骨折固定术
髓内
手术后并发症
治疗结果
humeral fractures fracture fixation,intramedullary
postoperative complications
treatment outcome
