[1]谢建军.钢板内固定术治疗肱骨近端骨折的优良率及对并发症的影响[J].医学信息,2025,38(07):96-99.[doi:10.3969/j.issn.1006-1959.2025.07.017]
　XIE Jianjun.The Excellent Rate of Plate Internal Fixation in the Treatment of Proximal Humeral Fractures and its Effect on Complications[J].Journal of Medical Information,2025,38(07):96-99.[doi:10.3969/j.issn.1006-1959.2025.07.017]
点击复制

钢板内固定术治疗肱骨近端骨折的优良率及对并发症的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年07期
页码:
96-99
栏目:
论著
出版日期:
2025-04-01

文章信息/Info

Title:
The Excellent Rate of Plate Internal Fixation in the Treatment of Proximal Humeral Fractures and its Effect on Complications
文章编号:
1006-1959（2025）07-0096-04
作者:
谢建军
玉山博爱医院骨科，江西 玉山 334700
Author(s):
XIE Jianjun
Department of Orthopedics, Yushan Boai Hospital, Yushan 334700, Jiangxi, China
关键词:
钢板内固定术; 肱骨近端骨折; 优良率; 并发症
Keywords:
Plate internal fixation;  Proximal humerus fracture;  Excellent rate;  Complication
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2025.07.017
文献标志码:
A
摘要:
目的 分析钢板内固定术治疗肱骨近端骨折的优良率及对并发症的影响。方法 选取2021年1月-2023年12月玉山博爱医院收治的肱骨近端骨折患者60例作为本研究对象，按照随机抽签法分为对照组和观察组，每组30例。对照组运用夹板外固定治疗，观察组运用钢板内固定治疗。比较两组骨折优良率、肩关节活动度（上举、前屈、后伸、外展、内收）、Constant-Murley肩关节功能评分（疼痛、活动功能、肌力、活动度）、并发症（神经损伤、血管损伤、切口感染、关节功能障碍）发生率。结果 观察组骨折优良率为96.67%，高于对照组的73.33%（P＜0.05）。观察组术后肩关节活动度高于对照组，疼痛、活动功能、肌力、活动度评分均高于对照组（P＜0.05）。观察组并发症发生率为3.33%，低于对照组的26.67%（P＜0.05）。结论 钢板内固定术治疗肱骨近端骨折患者的效果确切，可以提高患者骨折优良率以及肩关节功能，降低患者术后并发症发生率，改善患者肩关节活动度，值得应用。
Abstract:
Objective To analyze the excellent and good rate of plate internal fixation in the treatment of proximal humeral fractures and its effect on complications. Methods A total of 60 patients with proximal humeral fractures admitted to Yushan Boai Hospital from January 2021 to December 2023 were selected as the subjects of this study. According to the random lottery method, they were divided into control group and observation group, with 30 patients in each group. The control group was treated with splint external fixation, and the observation group was treated with plate internal fixation. The fracture excellent rate, shoulder range of motion, Constant-Murley shoulder function score (pain, activity function, muscle strength, activity) and complications (nerve injury, vascular injury, incision infection, joint dysfunction) were compared between the two groups. Results The fracture excellent rate of the observation group was 96.67%, which was higher than 73.33% of the control group (P<0.05). The postoperative shoulder range of motion in the observation group was higher than that in the control group, and the scores of pain, activity function, muscle strength and activity were higher than those in the control group (P<0.05). The incidence of complications in the observation group was 3.33%, which was lower than 26.67% in the control group (P<0.05). Conclusion Plate internal fixation is effective in the treatment of patients with proximal humeral fractures, which can improve the fracture excellent rate and shoulder joint function, reduce the incidence of postoperative complications, and improve the shoulder range of motion of patients. It is worthy of application.

参考文献/References:

[1]谢鹏,卢冰,刘攀,等.切开复位锁定钢板内固定术与半肩关节置换术治疗复杂肱骨近端骨折疗效比较的回顾性分析[J].现代生物医学进展,2022,22(22):4294-4298.[2]谢明锐,唐诗添.微创锁定钢板内固定术治疗老年肱骨近端骨折患者的临床疗效分析[J].四川医学,2019,40(8):834-837.[3]陈志强,庄健.切开复位锁定钢板内固定术与Acumed肱骨髓内钉固定术治疗两或三部分肱骨近端骨折疗效比较[J].创伤与急危重病医学,2018,6(1):29-31.[4]解金三,陈锋.人工肱骨头置换术与微创锁定加压钢板内固定治疗对老年肱骨近端骨折患者临床疗效、疼痛及肩关节功能的影响[J].实用医院临床杂志,2020,17(6):87-90.[5]陈辉,芮云峰,崔学良,等.锁定钢板结合髓内钛网支撑治疗老年肱骨近端骨折的疗效分析[J].中华创伤骨科杂志,2023,25(5):422-426.[6]韦财,廖海浪,杨文彬,等.定时定角度外固定疗法在肱骨近端骨折治疗中的应用[J].实用骨科杂志,2019,25(2):159-162.[7]李波,张世民,胡孙君,等.肱骨头下皮质外距螺钉重建内侧柱治疗老年肱骨近端骨折的临床疗效[J].中华手外科杂志,2023,39(6):482-487.[8]黄志明,李高舜,章建卫.髂骨块支撑植骨联合钢板固定治疗肱骨近端骨折[J].临床骨科杂志,2019,22(6):670-671.[9]杨万贵,王应兵,王川,等.MIPO技术结合锁定加压钢板治疗肱骨近端骨折的前瞻性研究[J].创伤外科杂志,2022,24(4):295-300.[10]郑旻,黄伟杰,杜晓禾,等.三角肌入路与肩峰下入路锁定钢板内固定治疗老年肱骨近端骨折近期疗效及对凝血功能的影响[J].创伤外科杂志,2019,21(4):292-295.[11]杨继国,胡劲涛,赵晨.半肩置换与锁定钢板治疗骨质疏松性三、四部分肱骨近端骨折的疗效对比[J].骨科,2018,9(1):27-31.[12]黑金璇.125例肱骨近端骨折病人内固定术后螺钉穿出肱骨头的危险因素分析[J].蚌埠医学院学报,2021,46(1):76-79.[13]莫雄革,马爱国,石展英,等.肱骨近端锁定钢板内固定治疗老年骨质疏松性肱骨近端骨折的疗效[J].中国老年学杂志,2020,40(15):3246-3249.[14]周磊,王海涛,王华.锁定钢板内固定联合植骨在老年肱骨近端骨折患者治疗中的应用研究[J].中华肩肘外科电子杂志,2020,8(4):352-357.[15]周磊,王华.锁定钢板内固定联合植骨在治疗老年肱骨近端骨折中的应用[J].北华大学学报(自然科学版),2020,21(3):377-380.[16]张玉富,黄强,李蔷,等.20例复杂肱骨近端骨折术后肱骨头坏死的特点分析[J].中华创伤骨科杂志,2022,24(2):138-143.[17]马志强,买买艾力·玉山,王筠.骨水泥棒髓内植入联合PHILOS钢板治疗老年骨质疏松型肱骨近端骨折[J].中国骨与关节杂志,2023,12(8):593-599.[18]丁晨,王光超.Philos钢板与TRIGEN交锁髓内钉内固定治疗Neer二部分、三部分肱骨近端骨折的疗效分析[J].中国骨与关节损伤杂志,2021,36(11):1152-1155.

相似文献/References:

[1]王慧明,卓春萍,王庆雷,等.钢板内固定术联合中药煎服治疗胫骨平台骨折的 临床疗效观察[J].医学信息,2018,31(14):110.[doi:10.3969/j.issn.1006-1959.2018.14.032]
　WANG Hui-ming,ZHUO Chun-ping,WANG Qing-lei,et al.Clinical Observation on Treatment of Fracture of Tibial Plateau with Plate Internal Fixation Combined with Traditional Chinese Medicine Decoction[J].Journal of Medical Information,2018,31(07):110.[doi:10.3969/j.issn.1006-1959.2018.14.032]
[2]李 奇,徐福全.闭合复位经皮微创锁定加压接骨板内固定治疗肱骨近端骨折的效果[J].医学信息,2020,33(13):109.[doi:10.3969/j.issn.1006-1959.2020.13.030]
　LI Qi,XU Fu-quan.Closed Reduction and Percutaneous Minimally Invasive Locking Compression Plate Internal Fixation for the Treatment of Proximal Humeral Fractures[J].Journal of Medical Information,2020,33(07):109.[doi:10.3969/j.issn.1006-1959.2020.13.030]
[3]吴 蔓.肱骨近端加压锁定钢板与传统钢板治疗肱骨近端骨折的疗效[J].医学信息,2020,33(14):107.[doi:10.3969/j.issn.1006-1959.2020.14.032]
　WU Man.Therapeutic Effect of Proximal Humerus Compression Locking Plate and Traditional Plate on Proximal Humerus Fractures[J].Journal of Medical Information,2020,33(07):107.[doi:10.3969/j.issn.1006-1959.2020.14.032]
[4]葛鹏斌,赵 坤.锁定接骨板治疗累及肱骨距的肱骨近端骨折的效果[J].医学信息,2021,34(10):134.[doi:10.3969/j.issn.1006-1959.2021.10.038]
　GE Peng-bin,ZHAO Kun.The Effect of Locking Bone Plate in the Treatment of Proximal Humeral Fractures Involving the Humeral Talar[J].Journal of Medical Information,2021,34(07):134.[doi:10.3969/j.issn.1006-1959.2021.10.038]
[5]郜 鹏.锁定接骨板治疗累及肱骨距的肱骨近端骨折的效果及对患者并发症、功能恢复的影响[J].医学信息,2022,35(13):113.[doi:10.3969/j.issn.1006-1959.2022.13.025]
　GAO Peng.Effect of Locking Plate in the Treatment of Proximal Humeral Fractures Involving Humeral Distance and its Effect on Complications and Functional Recovery[J].Journal of Medical Information,2022,35(07):113.[doi:10.3969/j.issn.1006-1959.2022.13.025]
[6]李世挺.锁定钢板治疗不同Neer分型肱骨近端骨折的疗效及生物力学恢复情况[J].医学信息,2022,35(23):108.[doi:10.3969/j.issn.1006-1959.2022.23.020]
　LI Shi-ting.The Efficacy and Biomechanical Recovery of Locking Plate in the Treatment of Different Neer Types of Proximal Humeral Fractures[J].Journal of Medical Information,2022,35(07):108.[doi:10.3969/j.issn.1006-1959.2022.23.020]
[7]李 晗,徐执扬,吴冯胜,等.Multiloc髓内钉治疗老年骨质疏松性肱骨近端骨折的临床疗效[J].医学信息,2024,37(02):115.[doi:10.3969/j.issn.1006-1959.2024.02.022]
　LI Han,XU Zhi-yang,WU Feng-sheng,et al.Clinical Efficacy of Multiloc Intramedullary Nail in the Treatment of Osteoporotic Proximal Humeral Fractures in the Elderly[J].Journal of Medical Information,2024,37(07):115.[doi:10.3969/j.issn.1006-1959.2024.02.022]

更新日期/Last Update: 1900-01-01