摘要
目的探究微创锁定加压钢板(LCP)内固定手术治疗肱骨近端骨折的效果。方法选取2021年6月—2023年6月莘县第三人民医院收治的84例肱骨近端骨折患者为研究对象,按随机数字表法将其分为对照组及观察组,每组42例。对照组行钢板螺钉内固定术,观察组行微创LCP内固定术。对比两组患者的围手术期指标、疼痛程度、肩关节功能、生活质量及并发症发生情况。结果观察组的术中出血量为(76.94±8.40)mL,少于对照组的(130.59±11.25)mL,手术时间、住院时间、负重时间、骨折愈合时间分别为(86.98±7.20)min、(2.67±0.34)d、(8.53±1.20)周、(11.25±2.21)周,均短于对照组的(106.27±9.46)min、(4.06±0.53)d、(9.71±1.59)周、(14.39±3.57)周,组间差异有统计学意义(P<0.05)。术后3个月,观察组的疼痛视觉模拟评分为(1.01±0.40)分,低于对照组的(1.75±0.63)分,Constant-Murley肩关节功能评定量表评分为(81.25±7.30)分,高于对照组的(70.36±6.21)分,组间差异有统计学意义(P<0.05);观察组的世界卫生组织生存质量测定量表简表中生理健康、心理健康、周围环境、社会关系评分分别为(76.64±4.21)分、(77.57±4.62)分、(76.64±4.37)分、(78.97±5.29)分,均高于对照组的(68.59±3.40)分、(69.48±4.01)分、(67.59±3.83)分、(69.83±4.36)分,组间差异有统计学意义(P<0.05)。观察组的并发症发生率为4.76%,低于对照组的19.05%,差异有统计学意义(P<0.05)。结论微创LCP内固定手术具有创伤小、术后恢复快等优势,能够缓解肱骨近端骨折患者的术后疼痛,恢复其肩关节功能,有助于生活质量提高,且并发症少。
Objective To investigate the effect of minimally invasive locking compression plate(LCP)internal fixation surgery in the treatment of proximal humeral fractures.Methods A total of 84 patients with proximal humerus fracture admitted to the Third People's Hospital of Shen County from June 2021 to June 2023 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 42 cases in each group.The control group underwent plate-screw internal fixation,and the observation group underwent minimally invasive LCP internal fixation.The perioperative indexes,pain degree,shoulder joint function,quality of life and complications were compared between the two groups.Results The intraoperative blood loss in the observation group was(76.94±8.40)mL,which was less than(130.59±11.25)mL in the control group,the operation time,hospital stay,weight-bearing time and fracture healing time were(86.98±7.20)min,(2.67±0.34)d,(8.53±1.20)weeks and(11.25±2.21)weeks,respectively,which were shorter than(106.27±9.46)min,(4.06±0.53)d,(9.71±1.59)weeks and(14.39±3.57)weeks in the control group,the differences between the groups were statistically significant(P<0.05).Three months after surgery,the pain Visual Analogue Score of the observation group was(1.01±0.40)points,which was lower than(1.75±0.63)points of the control group,and the Constant-Murley shoulder function rating scale score was(81.25±7.30)points,which was higher than(70.36±6.21)points of the control group,the differences between the groups were statistically significant(P<0.05);the scores of physical health,mental health,surrounding environment and social relations in the World Health Organization Quality Of Life-BREF scale of the observation group were(76.64±4.21)points,(77.57±4.62)points,(76.64±4.37)points and(78.97±5.29)points,respectively,which were higher than(68.59±3.40)points,(69.48±4.01)points,(67.59±3.83)points,(69.83±4.36)points of the control group,the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 4.76%,which was lower than 19.05%in the control group,the difference was statistically significant(P<0.05).Conclusion Minimally invasive LCP internal fixation surgery has the advantages of less trauma and faster postoperative recovery,which can relieve postoperative pain in patients with proximal humerus fracture,restore their shoulder joint function,improve quality of life,and reduce complications.
作者
张兆斌
ZHANG Zhaobin(Department of Orthopedics,The Third People's Hospital of Shen County,Liaocheng 252427,China)
出处
《反射疗法与康复医学》
2024年第16期106-109,共4页
Reflexology And Rehabilitation Medicine
关键词
肱骨近端骨折
生活质量
并发症
Proximal humeral fracture
Quality of life
Complications
