首页|肱骨髓内钉内固定术与锁定加压钢板内固定术治疗肱骨骨折患者的效果分析

肱骨髓内钉内固定术与锁定加压钢板内固定术治疗肱骨骨折患者的效果分析

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目的:探究肱骨髓内钉内固定术与锁定加压钢板内固定术治疗肱骨骨折患者的效果。方法:选择2022年2月—2023年 1月微山县人民医院骨外科收治的 160例肱骨骨折患者为研究对象,采用随机数字表法将其分为对照组和研究组,每组 80例。对照组采用锁定加压钢板内固定术治疗,研究组采用肱骨髓内钉内固定治疗。比较两组围手术期指标、疼痛程度、肩关节功能、肘关节功能及并发症发生情况。结果:研究组术中出血量少于对照组,住院时间及骨折愈合时间均短于对照组,差异均有统计学意义(P<0。05)。两组手术时间比较,差异无统计学意义(P>0。05)。术后 3、6个月,研究组疼痛评分均低于对照组,差异均有统计学意义(P<0。05)。术后 1年,研究组Constant-Murley肩关节功能评分表及肘关节Mayo功能评分均高于对照组,差异均有统计学意义(P<0。05)。研究组并发症发生率为 2。50%,低于对照组的 11。25%,差异有统计学意义(P<0。05)。结论:肱骨髓内钉内固定术与锁定加压钢板内固定术均可有效治疗肱骨骨折,与锁定加压钢板内固定术相比,采用肱骨髓内钉内固定术治疗对患者造成创伤较小,术后住院时间及骨折愈合时间均较短,能够降低患者疼痛程度,利于促进肘关节及肩关节功能的恢复,且具有一定安全性。
Effect Analysis of Humeral Bone Marrow Nail Internal Fixation Surgery and Locking Compression Plate Fixation Surgery in the Treatment of Humeral Fracture Patients
Objective:To investigate the effects of humeral bone marrow nail internal fixation surgery and locking compression plate fixation surgery in the treatment of humeral fracture patients.Methods:A total of 160 patients with humeral fracture admitted to the Department of Orthopedics in Weishan County People's Hospital from February 2022 to January 2023 were selected as the study objects,and were divided into a control group and a study group by random number table method,with 80 cases in each group.The control group was treated with locking compression plate fixation surgery and the study group was treated with humeral bone marrow nail internal fixation surgery.Perioperative indexes,pain degree,shoulder joint function,elbow joint function and complications were compared between the two groups.Results:The intraoperative blood loss of the study group was less than that of the control group,and the duration of hospitalization and fracture healing were shorter than those of the control group,with statistical significances(P<0.05).There was no significant difference in operation time between the two groups(P>0.05).Three and six months after surgery,the pain scores of the study group were lower than those of the control group,the differences were statistically significant(P<0.05).One year after surgery,the Constant-Murley shoulder function scale and elbow Mayo function score of the study group were higher than those of the control group,the differences were statistically significant(P<0.05).The complication rate of the study group was 2.50%,which was lower than 11.25%of the control group,the difference was statistically significant(P<0.05).Conclusion:Humeral bone marrow nail internal fixation surgery and locking compression plate fixation surgery can both effectively treat humeral fracture.Compared with locking compression plate fixation surgery,the use of humeral bone marrow nail internal fixation can cause less trauma to patients,and the postoperative hospital stay and fracture healing time are shorter,which can reduce the pain degree of patients and promote the recovery of elbow and shoulder joint function.

Humerd fractureHumeral bone marrow nail internal fixation surgeryLocking compression plate fixation surgeryPain degree

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山东省微山县人民医院骨外科,山东 济宁 277600

肱骨骨折 肱骨髓内钉内固定术 锁定加压钢板内固定术 疼痛程度

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(17)