肱骨中下段骨折患者手术治疗与非手术治疗的疗效对比

目的比较肱骨中下段骨折患者采取手术治疗与非手术治疗的临床疗效。方法本院治疗的肱骨中下段骨折患者70例，平均分为手术组和非手术组各35例。比较两组患者骨折愈合率、骨折愈合时间、骨不连发生率、桡神经损伤发生率以及终末随访时的肘关节Mayo评分。结果手术组患者的骨折愈合率明显低于非手术组患者（P〈0．05），骨折愈合时间明显长于非手术组患者（P〈0．05），骨不连以及桡神经损伤发生率明显高于非手术组患者（P〈0．05）。而手术组患者与非手术组患者的终末随访时的肘关节Mayo评分的比较，差异无统计学意义（P〉0．05）。结论非手术治疗肱骨中下段骨折与手术治疗相比，具有骨折愈合率高、骨折愈合快、骨不连及桡神经损伤的发生率低的特点，值得临床推广使用。

The effect comparison of surgical and non-surgical treatment of middle or lower segment humerus shaft fracture

Objective To compare the clinical effect of surgical and non-surgical treatment of middle or lower segment humerus shaft fracture.Methods Seventy patients treated in our hospital were selected,and divided into surgical group and non-surgical group,35 patients in each group.The fracture healing rate,fracture healing time,nonunion,radial nerve injury and final Mayo elbow score of two groups were tested and compared.Results The fracture healing rate of surgical group was significant lower than non-surgical group(P < 0.05),fracture healing time was significant longer than non-surgical group(P < 0.05),nonunion and radial nerve injury were significant higher than non-surgical group(P < 0.05),and there was no significant difference in final Mayo elbow score between the two groups.Conclusion Non-surgical treatment of middle or lower segment humerus shaft fracture has higher fracture healing rate,shorter fracture healing time,fewer nonunion and radial nerve injury.It is worthy to clinical practice.