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1、中華實(shí)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(shù)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(xué)第二附屬醫(yī)院骨科,鄭州45OO14)摘要:目的評(píng)價(jià)人工肱骨頭置換術(shù)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(shù)方法分為觀察組36例和對(duì)照組36例,觀察組行肱骨頭置換術(shù),對(duì)照組行鎖定鋼板內(nèi)固定術(shù),比較2組手術(shù)時(shí)間、術(shù)中出血量、術(shù)后引流量、住院時(shí)間和并發(fā)癥發(fā)生情況,采用Constant—Murley評(píng)分系統(tǒng)對(duì)肩關(guān)節(jié)功能恢復(fù)
2、情況進(jìn)行評(píng)價(jià)。結(jié)果觀察組手術(shù)時(shí)間((85.7±9.4)min)、術(shù)中出血量((187.6士29.7)mL)、術(shù)后引流量((60.5±6.4)mL)和住院時(shí)間((10.3士2.1)d)與對(duì)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(jì)學(xué)意義(P<0.05);術(shù)后3個(gè)月及1a觀察組Constant—Murley評(píng)分((61.3±4.7)、(67.4±3.4)分)高于對(duì)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(duì)照組(16.7)比較差
3、異無(wú)統(tǒng)計(jì)學(xué)意義(P>0.05)。結(jié)論肱骨頭置換術(shù)治療老年肱骨頭近端粉碎性骨折療效確切,與鎖定鋼板內(nèi)固定術(shù)相比,具有手術(shù)時(shí)間短、術(shù)中出血量少、住院時(shí)間短及并發(fā)癥發(fā)生率低等優(yōu)點(diǎn)。關(guān)鍵詞:肱骨近端骨折;人工肱骨頭置換術(shù);鎖定鋼板內(nèi)固定術(shù);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