[1]刘志成.切开复位内固定术与经皮微创接骨术治疗Neer分型Ⅲ~Ⅳ部分肱骨骨折患者的疗效比较[J].医学信息,2021,34(24):108-110.[doi:10.3969/j.issn.1006-1959.2021.24.026]
　LIU Zhi-cheng.Comparison of Open Reduction Internal Fixation and Minimally Invasive Percutaneous Osteosynthesis in the Treatment of Neer Type Ⅲ-Ⅳ Humeral Fractures[J].Medical Information,2021,34(24):108-110.[doi:10.3969/j.issn.1006-1959.2021.24.026]
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切开复位内固定术与经皮微创接骨术治疗Neer分型Ⅲ~Ⅳ部分肱骨骨折患者的疗效比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年24期
页码:
108-110
栏目:
临床研究
出版日期:
2021-12-15

文章信息/Info

Title:
Comparison of Open Reduction Internal Fixation and Minimally Invasive Percutaneous Osteosynthesis in the Treatment of Neer Type Ⅲ-Ⅳ Humeral Fractures
文章编号:
1006-1959（2021）24-0108-03
作者:
刘志成
（寻乌县人民医院，江西 寻乌 342200）
Author(s):
LIU Zhi-cheng
(Xunwu County People’s Hospital,Xunwu 342200,Jiangxi,China)
关键词:
切开复位内固定术; 经皮微创接骨术; Neer分型; 肱骨骨折
Keywords:
Open reduction internal fixation; Minimally invasive percutaneous osteosynthesis; Neer classification; Humeral fracture
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2021.24.026
文献标志码:
A
摘要:
目的 比较切开复位内固定术与经皮微创接骨术治疗Neer分型Ⅲ~Ⅳ部分肱骨骨折患者的临床疗效。方法 选取2018年5月-2021年5月我院诊治的76例Neer分型Ⅲ~Ⅳ部分肱骨骨折患者为研究对象，采用随机数字表法分为对照组和观察组，各38例。对照组采用切开复位内固定术治疗，观察组采用经皮微创接骨术治疗，比较两组临床治疗肩关节Neer功能恢复优良率、临床手术指标、骨折愈合时间、术后疼痛评分及并发症发生率。结果 观察组肩关节Neer功能恢复优良率为97.37%，高于对照组的84.21%（P＜0.05）；观察组手术切口、手术时间、术中出血量、住院时间均小于对照组（P＜0.05）；观察组骨折愈合时间短于对照组（P＜0.05）；观察组疼痛评分低于对照组（P＜0.05）；随访2个月，观察组并发症发生率为5.26%，低于对照组的13.16%（P＜0.05）。结论 经皮微创接骨术治疗Neer分型Ⅲ~Ⅳ部分肱骨骨折患者的临床疗效更理想，可促进肩关节Neer功能恢复，具有手术时间短、术中出血量少、手术切口小、住院时间短、术后疼痛小、骨折愈合时间短、并发症发生率低的优势。
Abstract:
Objective To compare the clinical effect of open reduction internal fixation and minimally invasive percutaneous osteosynthesis in the treatment of neer type Ⅲ-Ⅳ humeral fractures.Methods A total of 76 patients with Neer type Ⅲ-Ⅳ humeral fractures treated in our hospital from May 2018 to May 2021 were selected and randomly divided into control group and observation group, with 38 cases in each group. The control group was treated with open reduction internal fixation, and the observation group was treated with minimally invasive percutaneous osteosynthesis. The excellent and good rate of Neer function recovery, clinical operation indexes, fracture healing time, postoperative pain score and incidence of complications were compared between the two groups.Results The excellent and good rate of shoulder Neer function recovery in the observation group was 97.37%, which was higher than 84.21% in the control group (P<0.05). The operation incision, operation time, intraoperative blood loss and hospitalization time in the observation group were less than those in the control group (P<0.05). The fracture healing time in the observation group was shorter than that in the control group (P<0.05). The pain score in the observation group was lower than that in the control group (P<0.05). After two months of follow-up, the incidence of complications in the observation group was 5.26%, which was lower than 13.16% in the control group (P<0.05).Conclusion The clinical effect of minimally invasive percutaneous osteosynthesis in the treatment of Neer type Ⅲ-Ⅳ humeral fractures is more ideal, which can promote the recovery of Neer function of shoulder joint, and has the advantages of short operation time, less intraoperative blood loss, small incision, short hospitalization time, small postoperative pain, short fracture healing time and low complication rate.

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更新日期/Last Update: 1900-01-01