| 肱骨干骨折微创钢板固定与带锁髓内针固定术疗效对比分析 |
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| 引用本文： | 张隆,李文毅,郑旺,王树茂,郑淑慧,李西成,李旭明,孙喜龙.肱骨干骨折微创钢板固定与带锁髓内针固定术疗效对比分析[J].中国全科医学,2010,13(15):1689-1690. |
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| 作者姓名： | 张隆 李文毅 郑旺 王树茂 郑淑慧 李西成 李旭明 孙喜龙 |
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| 作者单位： | 河北省人民医院骨科,河北省石家庄市,050051 |
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| 摘 要： | 目的 探讨分析肱骨干骨折经皮微创钢板固定与带锁髓内针固定术的疗效.方法 选取2005年2月-2008年12月采用经皮微创钢板固定与带锁髓内针固定的成人新鲜肱骨干骨折患者60例,其中微创钢板组17例,带锁髓内针组43例,对比两组手术时间、术中出血量、并发症发生率、骨折愈合时间、骨折愈合率、Constant-Murley肩关节功能评分等指标.结果 随访时间:微创钢板组8～36个月,平均(19.77±6.79)个月,带锁髓内针组9～42个月,平均(21.90±8.58)个月,差异无统计学意义(P＞0.05).微创钢板组手术时间、术中出血量多于带锁髓内针组,差异有统计学意义(P＜0.05).两组并发症发生率、骨折愈合时间、骨折愈合率及肩关节功能评分比较,差异无统计学意义(P＞0.05).结论 肱骨干骨折经皮微创钢板固定与带锁髓内针固定均可取得良好的临床疗效,但微创钢板固定手术操作相对复杂.
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| 关 键 词： | 肱骨骨折 骨折固定术 外科手术 微创性 |
Clinical Comparison between Minimally Invasive Plating Osteosynthesis and Interlocking Intramedullary Nailing in Treatment of Humeral Shaft Fracture |
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| ZHANGLong,LIWen-yi,ZHENGWang,etal.Clinical Comparison between Minimally Invasive Plating Osteosynthesis and Interlocking Intramedullary Nailing in Treatment of Humeral Shaft Fracture[J].Chinese General Practice,2010,13(15):1689-1690. |
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| Authors: | ZHANGLong LIWen-yi ZHENGWang etal |
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| Institution: | ZHANG+Long,LI+Wen-yi,ZHENG+Wang,et+al.Department+of+Orthopaedics,Hebei+General+Hospital,Shijiazhuang+050051,China |
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| Abstract: | Objective To compare the efficacy of minimally invasive plating osteosynthesis (MIPO) and interlocking intramedullary nailing (IMN) in the treatment of humeral shaft fracture.Methods Totally 60 adult patients with fresh humeral shaft fracture were treated in our hospital from February 2005 to December 2008.Among them 17 received MIPO and 43 received IMN.The parameters including operation time,blood loss,complication rate,fracture healing rate,fracture union time,and Constant-Murley shoulder score between th... |
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| Keywords: | Humeral fracture Fracture fixation Surgical procedures minimally invasive |
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