肱骨近端骨折两种治疗方法的临床疗效

目的：探讨非手术治疗和手术治疗肱骨近端骨折的临床疗效。方法：回顾性分析本院骨科2008年1月～2010年2月收治的肱骨近端骨折患者98例的临床资料,并将其随机分为非手术组和手术组,每组49例。结果：非手术组的优良率为93.88%,手术组的优良率为89.80%。结论：对于一部分骨折和多数二部分骨折均可采用非手术治疗,而对于骨折移位大于1cm或成角大于45°者常需手术复位,对三、四部分骨折多需手术复位。

Clinical effects of two treatment methods on proximal humeral fracture

Objective：To discuss the clinical effects of proximal humeral fractures treated by the non-surgical treatment and surgical treatment.Methods：Clinical datas of 98 patients with proximal humeral fractures were analyzed retrospectively in orthopedic of our hospital from January 2008 to February 2010,98 patients were randomly divided into non-surgery group and surgery group,49 patients in each group.Results：The excellent rate of non-operation group was 93.88%,and the excellent rate of surgical group was 89.80%.Conclusion：For the part of the fracture and most of the second part of the fracture can be used non-surgical treatment,while displacement of the fracture is greater than 1 cm,or angulation greater than 45° are often required operative reduction.The three-part fractures and four-part fractures multi-required operative reduction.