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1、中華實用診斷與治療雜志2014年9月第28卷第9期JChinPractDiagnTher,September2014,Vo1.28,No.9·895··論著·人工肱骨頭置換術治療老年肱骨近端骨折臨床分析張明生,張仲寧,陳清漢,朱宇(鄭州大學第二附屬醫(yī)院骨科,鄭州45OO14)摘要:目的評價人工肱骨頭置換術治療老年肱骨近端骨折的效果。方法肱骨近端粉碎性骨折老年患者72例,根據(jù)手術方法分為觀察組36例和對照組36例,觀察組行肱骨頭置換術,對照組行鎖定鋼板內固定術,比較2組手術時間、術中出血量、術后引流量、住院時間和并發(fā)癥發(fā)生情況,采用Constant—Murley評分系統(tǒng)對肩關節(jié)功能恢復
2、情況進行評價。結果觀察組手術時間((85.7±9.4)min)、術中出血量((187.6士29.7)mL)、術后引流量((60.5±6.4)mL)和住院時間((10.3士2.1)d)與對照組((103.14-1I.2)rain、(250.3±34.2)mL、(78.1±5.9)mL、(14.5-2_-1.9)d)比較差異有統(tǒng)計學意義(P<0.05);術后3個月及1a觀察組Constant—Murley評分((61.3±4.7)、(67.4±3.4)分)高于對照組((52.7±3.8)、(60.8士2.9)分)(P<0.05);觀察組并發(fā)癥發(fā)生率(11.1%)與對照組(16.7)比較差
3、異無統(tǒng)計學意義(P>0.05)。結論肱骨頭置換術治療老年肱骨頭近端粉碎性骨折療效確切,與鎖定鋼板內固定術相比,具有手術時間短、術中出血量少、住院時間短及并發(fā)癥發(fā)生率低等優(yōu)點。關鍵詞:肱骨近端骨折;人工肱骨頭置換術;鎖定鋼板內固定術;老年人;效果EffectofartificialhumeralheadreplacementonproximalhumerusfracturesinelderlypatientsZHANGMing—sheng,ZHANGZhong—ning,CHENQing—han.ZHUYu(DepartmentofOrthopedics,theSecondHospit
4、alAffiliatedtoZhengzhouUniversity,Zhengzhou450014,China)Abstract:0bjectiveToevaluatetheeffectofartificialhumeralheadreplacementonproximalhumerusfracturesinelderlypatients.MethodsSeventy-twoelderlypatientswithproximalhumerusfracturesweredividedintoobservationgroupandcontrolgroupbasedontheoperati
5、onmethods,with36patientsineachgroup.Observationgroupreceivedartificialhumeralheadreplacementandcontrolgroupreceivedlockingplate.Theoperationduration,bloodlossvolume,postoperativedrainagevolume,hospitalizationstayandcomplicationswererecordedintwogroups.Theshoulderfunctionrecoverywasevaluatedbyus
6、ingConstant—Murleyscoringsystem.ResultsTheoperationduration,bloodlossvolume,postoperativedrainagevolumeandhospitalizationstaywere(85.7土9.4)min,(187.6_-4-29.7)mL,(60.54-6.4)mLand(10.3士2.1)daysinobservationgroup,significantlydifferentfromthoseincontrolgroup((103.14-11.2)min,(25O.3±34.2)mL,(78.I±5
7、.9)mL,(14.5士1.9)days)(P<0.05).Constant—Murleyscoresin3monthsandoneyearafteroperationwere61.3±4.7and67.4-4-3.4inobservationgroup,higherthanthoseincontrolgroup(52.7±3.8,6O.8±2.9)(P<0.05).Therewasnosignificantdifferenceintheincidence