本文關(guān)鍵詞： 肱骨近端 骨折 鎖定鋼板 T型鋼板　出處：《華北理工大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：目的比較鎖定鋼板與T型鋼板在肱骨近端骨折治療中的臨床療效。方法收集自2009年至2014年在唐山市第二醫(yī)院肱骨近端骨折治療的患者40例其中采用T型鋼板治療內(nèi)固定的有13例,平均年齡54.7歲,采用鎖定鋼板內(nèi)固定治療的27例,平均年齡59.3歲。兩組病例都是術(shù)后6個月進(jìn)行定期回訪,記錄各項指標(biāo)觀察結(jié)果,兩組數(shù)據(jù)采用獨立樣本t檢驗進(jìn)行統(tǒng)計學(xué)分析。結(jié)果兩組病例中各項分別比較,兩組病例中年齡及分型構(gòu)成比較,P0.05,差異無顯著性。兩組病例中鎖定鋼板及T型鋼板術(shù)中出血量分別比較,均得出P0.05,差異無顯著性。兩組病例中鎖定鋼板及T型鋼板術(shù)后引流量分別比較,均得出P0.05,差異無顯著性。兩組病例中兩部分及三部分骨折平均手術(shù)時間分別比較,均得出P0.05,差異無顯著性。兩組病例中兩部分及三部分骨折臨床愈合時間比較,均得出P0.05,差異無顯著性。兩組病例中兩部分及三部分骨折術(shù)后并發(fā)癥分別比較,得出P0.05,差異有顯著性。兩組病例中兩部分及三部分骨折術(shù)后肩關(guān)節(jié)評分分別比較,得出P0.05,差異有顯著性。結(jié)論在肱骨近端骨折治療中,排除年齡、性別、Neer分型的影響,鎖定鋼板固定治療在總體上的療效明顯優(yōu)于T型鋼板固定治療。鎖定鋼板具有切口小,符合人體生理特點,對骨骼骨膜血運的破壞小,骨折愈合快,一期愈合率高,患者疼痛程度輕微,肩肘關(guān)節(jié)功能恢復(fù)好,能較快進(jìn)入正常生活的狀態(tài),術(shù)后發(fā)生骨折延遲愈合或骨不連的發(fā)生率低,并發(fā)癥及后遺癥少,縮短了療程。同時,在一定程度上減輕患者及社會的經(jīng)濟(jì)負(fù)擔(dān)。除此,在治療肱骨近端骨折治療方法選擇中,提供了具有價值的參考意義,為今后骨科的發(fā)展、患者的治療提供了更加明晰的思路。
[Abstract]:Objective to compare the clinical effect of locking plate and T-shaped plate in the treatment of proximal humerus fracture. Methods from 2009 to 2014, 40 patients with proximal humerus fracture in Tangshan second Hospital were collected. Thirteen cases were treated with T-plate. The average age was 54.7 years old, 27 cases were treated with locking plate fixation, the average age was 59.3 years. Two groups of data were analyzed by independent sample t-test. Results the two groups of cases were compared, the two groups of cases in the age and the composition of classification were compared P05. There was no significant difference between the two groups. The volume of intraoperative bleeding of locking plate and T-shaped plate were compared respectively, all obtained P0.05. There was no significant difference between the two groups. The drainage volume of locking plate and T-shaped plate were compared respectively in the two groups, all obtained P0.05. There was no significant difference between the two groups. The average operation time of the two parts and three parts of fracture were compared respectively, all obtained P0.05. There was no significant difference between the two groups. The clinical healing time of the two and three parts of fracture were compared and the results showed that there was no significant difference (P 0.05). The complications of the two and three parts of fracture were compared respectively in the two groups. P0.05, the difference is significant. Two and three parts of fracture of the two groups of patients after shoulder joint score, P0.05, the difference is significant. Conclusion in the treatment of proximal humerus fracture. Excluding the influence of age, sex and Neer classification, the effect of locking plate fixation was significantly better than that of T-shaped plate fixation in general. Locking plate had small incision and accord with physiological characteristics of human body. To the bone periosteum blood circulation damage little, the fracture union fast, the primary healing rate is high, the patient pain degree is slight, the shoulder elbow joint function recovers well, can enter the normal life state quickly. The incidence of delayed fracture healing or nonunion after operation is low, the complications and sequelae are less, and the course of treatment is shortened. At the same time, the economic burden of patients and society is alleviated to a certain extent. In the treatment of proximal humerus fracture, it provides a valuable reference for the development of orthopedics and the treatment of patients.
【學(xué)位授予單位】：華北理工大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R687.3

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