| 陈绪彪,林晓旭,张清旭,邱雪立,吴晓滨.钢板联合腓骨髓内支撑治疗老年患者PHF的疗效分析.[J].中南医学科学杂志.,2022,(2):231-234. |
| 钢板联合腓骨髓内支撑治疗老年患者PHF的疗效分析 |
| Efficacy analysis of plate combined with peroneal brace in the treatment of proximal humerus fracture in elderly patients |
| 投稿时间：2021-05-20 修订日期：2021-09-08 |
| DOI：10.15972/j.cnki.43-1509/r.2022.02.018 |
| 中文关键词: 钢板联合腓骨髓内支撑 肱骨近端骨折 肩关节活动度 |
| 英文关键词:plate combined with peroneal bracing proximal humerus fracture shoulder range of motion |
| 基金项目:汕头市科技计划医疗卫生类别项目(2011180964903) 作者简介:陈绪彪,主治医师,研究方向为骨外科创伤疾病,E-mail为c15816656770@126.com。通信作者邱雪立,主任医师,研究方向为骨外科创伤疾病,E-mail为qiuxueli@126.com。 |
|
| 摘要点击次数: 353 |
| 全文下载次数: 181 |
| 中文摘要: |
| 目的观察钢板联合腓骨髓内支撑治疗老年患者肱骨近端骨折(PHF)的疗效。方法肱骨近端骨折的老年患者92例,采用单纯钢板固定术(钢板固定组)治疗52例,采用钢板联合腓骨髓内支撑(联合支撑组)治疗40例。观察两组患者手术情况、术后肩关节活动度、Neer评分、美国肩肘外科(ASES)评分、Constsant-Murley(CMS)评分、肩关节活动范围(ROM)评分、疼痛视觉模拟(VAS)评分及并发症发生情况。结果联合支撑组手术时间、住院时间、术后愈合时间、术后肩关节活动度均大于钢板固定组(P＜0.05)。两组患者术后第12个月的Neer评分、ASES评分、CMS评分、ROM评分均较术后第3个月增加,VAS评分较术后第3个月降低(P＜0.05)；术后第12个月联合支撑组的Neer评分、ASES评分、CMS评分、ROM评分高于钢板固定组,VAS评分低于钢板固定组(P＜0.05)。联合支撑组术后并发症发生率低于钢板固定组(P＜0.05)。结论钢板联合腓骨髓内支撑治疗PHF患者,骨折复位良好,可减轻患者术后疼痛,降低术后并发症。 |
| 英文摘要: |
| To investigate the efficacy analysis of plate combined with peroneal brace in the treatment of proximal humerus fracture (PHF) in elderly patients. MethodsOf the 92 elderly patients with proximal humeral fractures, 52 were treated with plate fixation alone (plate fixation group) and 40 were treated with plate combined with peroneal support (combined support group). The operation, postoperative shoulder range of motion, Neer score, American shoulder and elbow surgery (ASES) score, Constsant-Murley (CMS) score, shoulder range of motion (ROM) score, pain visual simulation (VAS) score and complications were observed in the two groups. ResultsThe operation time, hospital stay, postoperative healing time and postoperative shoulder motion in the combined support group were larger than those in the plate fixation group (P＜0.05). The Neer score, ASES score, CMS score and ROM score of the two groups at the 12 th month after operation were higher than those at the 3rd month after operation, while the VAS score was lower than that at the 3rd month after operation (P＜0.05). At the 12 th month after operation, the Neer score, ASES score, CMS score and ROM score in the combined support group were higher than those in the plate fixation group, while the VAS score was lower than that in the plate fixation group (P＜0.05). After operation, the incidence of complications in the combined support group was lower than that in the plate fixation group (P＜0.05). ConclusionIn the treatment of PHF patients, the fracture reduction is good, and the postoperative pain and complications can be reduced. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|