手法闭合复位微创固定治疗肱骨近端骨折的疗效观察

目的]探讨手法闭合复位微创固定手术治疗肱骨近端骨折的疗效.方法]选择肱骨近端骨折患者50例,随机分为观察组和对照组,每组25例.观察组给予手法闭合复位微创固定手术,对照组给予常规手术切口复位内固定治疗.比较两组患者手术时间、出血量、切口长度、视觉模拟(VAS)评分、肩关节功能恢复及不良反应情况.结果]观察组手术时间、出血量、切口长度及VAS评分均显著低于对照组,差异均有统计学意义(P<0.05);观察组的肩关节功能恢复优于对照组,肩痛、感染、继发移位等不良反应总发生率低于对照组,其差异均有统计学意义(P<0.05).结论]手法闭合复位微创固定手术治疗肱骨近端骨折,可显著缩短手术时间,且创伤小,不良反应发生率低,促进关节功能恢复,值得临床推广应用.

Clinical Efficacy of Closed Reduction and Minimally Invasive Fixation for Proximal Humeral Fractures

Objective]To investigate the curative effect of closed reduction and minimally invasive fixation surgery on proximal humeral fractures.Methods]Fifty cases of patients with proximal humeral fracture in our hospital form Jan 2012 to Jan 2015 were randomly divided into observation group and control group,25 cases in each group.Patients in observation group were given closed reduction and minimally invasive fixation sur-gery,while patients in control group received conventional surgical incision reduction and internal fixation.Op-erative time,blood loss,incision length,VAS scores and adverse reactions of the two groups were recorded and compared.Results]The operative indicator and VAS scores of patients in the observation group were sig-nificantly lower than those of patients in the control group,the differences were statistically significant (P <0.05).The shoulder function recovery of patients in the observation group were significantly better than those of patients in the control group (P <0.05).The overall incidence of adverse reactions (such as shoulder pain, infection,secondary displacement)of the observation group were significantly lower than those of the control group,the differences were statistically significant (P <0.05).Conclusion]Closed reduction and minimally invasive fixation for treatment of proximal humeral fractures can significantly shorten the operation time with less trauma and lower incidence of adverse reactions,and can promote the recovery of joint function.It is wor-thy of clinical application.