[1]段来宝,谭新欢,李 嘉.手法复位微创内固定与切开复位内固定治疗肱骨近端骨折疗效对比[J].中国美容医学,2023,(11):42-46.[doi:10.15909/j.cnki.cn61-1347/r.005974]
　DUAN Laibao,TAN Xinhuan,LI Jia.Effect Comparison of Manipulative Reduction and Minimally Invasive Internal Fixation and Open Reduction and Internal Fixation in Treating Proximal Humeral Fractures[J].Medical Aesthetics and Beauty,2023,(11):42-46.[doi:10.15909/j.cnki.cn61-1347/r.005974]
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手法复位微创内固定与切开复位内固定治疗肱骨近端骨折疗效对比()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年11期
页码:
42-46
栏目:
出版日期:
2023-11-10

文章信息/Info

Title:
Effect Comparison of Manipulative Reduction and Minimally Invasive Internal Fixation and Open Reduction and Internal Fixation in Treating Proximal Humeral Fractures
文章编号:
1008-6455(2023)11-0042-04
作者:
段来宝1 ; 谭新欢2 ; 李 嘉3
(山东省文登整骨医院 1. 创伤整复二科;2.骨手显微外科;3.足踝外科 山东 威海 264400 )
Author(s):
DUAN Laibao1 ; TAN Xinhuan2 ; LI Jia3
(1.Second Department of Trauma Repair, 2.Bone and hand microsurgery, 3.Department of Foot and Ankle Surgery,Shandong Wendeng Osteopathic Hospital,Weihai 264400,Shandong,China)
关键词:
肱骨近端骨折; 手法复位; 微创; 内固定; 切开复位; 并发症
Keywords:
proximal humeral fractures;  manipulative reduction;  minimally invasive;  internal fixation;  open reduction;  complication
分类号:
R641
DOI:
10.15909/j.cnki.cn61-1347/r.005974
文献标志码:
A
摘要:
目的：比较手法复位微创内固定与切开复位内固定治疗肱骨近端骨折的疗效。方法：选择2020年3月-2022年3月于笔 者科室行肱骨近端骨折内固定的84例患者临床资料进行回顾性分析。根据手术方法不同，分为手法复位微创内固定组（观 察组）和切开复位内固定组（对照组），每组42例。比较两组患者围手术期指标（手术时长、术中出血量、切口愈合时 长、住院时间）、并发症（切口感染、血管损伤、腋神经损伤）、Constant-Murley肩关节评分、美国肩肘外科协会评分 （American shoulder and elbowsurgeons’form，ASES）、术口满意度评分情况。结果：术后，观察组手术时长、切口愈 合时长及住院时间均短于对照组，术中出血量少于对照组，并发症发生率低于对照组，Constant-Murley肩关节评分、ASES 评分、手术切口满意度评分均高于对照组，以上指标组间比较差异均有统计学意义（P＜0.05）。结论：与切开复位内固定 比较，手法复位微创内固定治疗肱骨近端骨折能有效改善肩关节活动度，且疼痛更轻、住院时间更短，并发症更少，术后更 美观，值得临床推广。
Abstract:
Objective To compare the efficacy of manipulative reduction and minimally invasive internal fixation and open reduction and internal fi xation in treating proximal humeral fractures. Methods The clinical data of 84 patients who underwent internal fi xation of proximal humeral fractures in the author’s department from March 2020 to March 2022 were retrospectively analyzed.According to different surgical methods,they were divided into manual reduction and minimally invasive internal fi xation group (observation group) and open reduction and internal fi xation group (control group),with 42 cases in each group. The perioperative indicators (surgical time,intraoperative blood loss,incision healing time,hospital stay),complications (incision infection,vascular injury,axillary nerve injury),Constant-Murley shoulder joint score,american shoulder and elbow surgeons (ASES) score and surgical incision satisfaction score were compared between the two groups. Results After surgery,the operation time,incision healing time and hospital stay of the observation group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,the complication rate was lower than that of the control group,and the Constant-Murley shoulder joint score,ASES score and surgical incision satisfaction score were higher than those of the control group. There were statistically signifi cant diff erences among the above indexes (P ＜0.05). Conclusion Compared with open reduction and internal fi xation,manual reduction and minimally invasive internal fi xation in the treatment of proximal humerus fractures can eff ectively improve shoulder joint motion,and has less pain,shorter hospital stay,fewer complications,and more postoperative beauty,which is worthy of clinical promotion.

相似文献/References:

[1] 包月娟. 三种复位方法对Gartland Ⅱ型和Ⅲ型儿童肱骨髁上骨折的近期疗效及肘内翻畸形的影响[J].中国美容医学,2020,(7):80.
　 BAO Yue-juan. Short-term Curative Effect of Three Reduction Methods on Gartland Type II and TypeIII Supracondylar Fracture of Humerus in Children and the Infl uence on Cubitus Varus Deformity[J].Medical Aesthetics and Beauty,2020,(11):80.

更新日期/Last Update: 2023-11-29